3914 Sibley Memorial Hwy
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-81 OD
BUILDING PERMIT , Receipt #
To be used for Est Value • Date ,19
Site Address OFFICE USE ONLY
. ~ . On Site Sewage Occupency
Lot Block Sec/Sub.
MWCC System Zoning
Parcel No.
On Site Well (Actuel) Const
a Name City wate? (Allowable)
= Addr9ss o PRV Required # of Stories
; Booster Pump Le th
° City Phone ~
Depth
°oC Name S.F. Total
.
o ` Address ~ Footprint S.F.
Ulx City Phone r' AppROYALS FEES
yVj W Name Engr./Assess. Permit
W
z ~ Address Planner Surcharge
City Phone Council Pian Review
t W
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is CoRect and agree to comply with ail applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee - - Road Unit
A Building Permit is issued to: Treatment P1
on the express condition ihat all work shall be done in accordance with all Pa~s
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial TOTAL
Permit No. Permit Holder Date Telephone i~
Plumbing
.
H.V.A.C. 9c,~~
r
Electric 4 131~
L; 9k4l~
Softener Inepection Date Insp. Comments
Faotings I
Footings II
Foundation
Framing ~9
Roofing ~~oee
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. .S
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
W el I 9 pOwv
Pr. pisp.
CITY OF EAGAN • ~ ~ C ~
} 0 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
R'l i[,e Ga /ye ~ri~a,x, PHONE: 454-8100
;U71L ING PErRMIT Receipt ~
To be used for tEyT Est. Value Date ~PitI L 1`' ,195ite Address ti
' ~~LVt' 1,•'F"' %Pt a1' iY OFFICE USE ONLY
LotTI Block t Sec/Sub.1('- )1•;i?U-0S1-0C OnSiteSewage Occupancy -
MWCC Syatem Zoning
Parcel No. On Site well (Actual) Conat
a Name City Water (Allowable)
W PRV Requlred # of Storiea
z Address ~ City ~ Phone ~~ter Pump Length
Depth
, p Name S.F.Total
~ ~ Address Footprirrt S.F.
~ City Phone APPROVALS FEES
~ ar Engr./Assess. Permit
u,j ~ Name
Addfess Planner Surcharge Z
~ Z City Phone Council Ptan Review
9 W Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC _
information is corcect and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: " Treatment P1
on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statutes end City o( Eagan Ordinances. Parks
4 .
TOTAL
Building Official_ _
Permit No. Permlt Holdar Dats Tslaphons i~
Plumbing
H.V.A.C. Etectric
Softener
Inspection oate insp• Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. '~T4•
Rough Htg.
Isul.
Fireplace
Final Htg.
Ffnal Plbg. Q
Bldg. Final /4
Cert Occ.
Temp. LP
Deck Ftg.
Deck Finel
Well
Pr. Disp.
. ~
Ttrfi#irafP uf (Orrupartry
Citp of (eagan
Brparitnmt ,u# Iudd'mg Jns.ppr#i,m
This Cerrifrcate rssued pursuant tv ihe requirements of Seetion 306 of the Uruform Butldrng
Code cenifying that at the time of issuance ihis structure was in compliance with the various
ordinances of rhe City regulating building constructian or use. For rhe fa!(owing.Ux ClessiftrAtioo
27 gldg, Pormit No. `ti'\.
Occup.ecy Type B2 Zoning D'evia Type Conu.
owner orewaing 'j~K Addmo 1106 S 8~~,'l•; Gl, .n,r
euilding ,we,m, ?ci~ L-ahty ':051, B6, S&MCX+I
Officifif Dot,: MV 13. 1988
Mding
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt#
To be used for "~'T j~R Est. Value Date ~TuFs~::i< 27 19
Site Address 3913 4I$i.LY. N!EM^R?AL 1iLTY OFFICE USE ONLY !
Lot Block Sec/Sub. OnSiteSewage Occupancy
MWCC System Zoning
Parcel NO. On Site Well (Actual) Const
.;{?H,i VM'ilE1t A."DY. City Water (Ailowable)
¢ Name
Z AddreSS 14017 TW7NUF !A PRV Required # of Stories
~ City n1 vi~ Phone 43Z-~~ Booster Pump Length
Depth
o S.F. Total
Name
~ Q Address Footprint S.F.
1- City Phone APPROYALS FEES
~ rc EngrJAssess. Permit
W Name
~ = Planner Surcharge •
Address
Q W City Phone Council Pian Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
intormation is correct and agree to comply with all applicable State ol Water Conn.
Minnesota Statutes and City of Eagan prdinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to:_JOKN VANDER AAE.DY Treatment P1
on the express condition t hat all work shal I be done in accordance with all =
*%Oki
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL
Building Official
Permit No. Permit Holder Date Telephone ~t
Plumbing
H.V.AC.
Electric
Softener
Inspection oate Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. L
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Wy! ~••~~q~5:+fr..--- -w.-+..:--a . .
of CITY OF EAGAN
J
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 -
BUILDING PERMIT Receipt
To be used for I14T• 1XPR• Est. Value i600 Date
Site Address 3916 SZBI.LrY 45:'t?+Z:A~'.. tt~C1' OFFICE USE ONLY
Lot Biock SeC/Sub. On Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Site We1l (Actual) Const
m Name VANi`L2 AP¢OE Ciry Water (Allowable)
o Addres14017 U' PRV Required # of 5tories
City BPhone Booster Pump Length
Uepth
, o Name JAYI S.F.Total
~ s Address Footprint S.F.
~ City Phone APPROVAL5 FEES
~ a Engr./Assess. Permit 4 i
F Z Name Planner 5urcharge
Address
Q W Clty PhpnB Council Plan Review
Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
intormation is correct and agree to comply with all applicable State ot Water Conn.
Minnesota Statutes and City of Eagan Ordinances.
Water MeEer
Signature of Permiltee Road Unit
f '1$ ifnrt.J~'±k AAR: L
A Building Permit is issued to:__ Treatment P1
on the express condition t hat all work shall be done in accordance with aIl ~y~~ ~app )
applicable State of Minnesota Statutes and City of Eagan Ordinances.
TOTAL $1
4"
Building Official _ _
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.G.
Electric
Softener
Inspectfon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . - . , . / ' Xz
b 4, MECHANICALPEliMIT PERMIT #
C
? .
CITY OF EAGAN RECEIPT
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE 56j862.00 PHONE: 454-8100
Site Address y4 ZaMey mem' ' 155M.
gLpG. TYPE WORK DESCRIPTION
r
Lot - Block iL'c SecG ub
Fies. New
Name s d Mult Add-on
~ Address Comm. K Repair
c City Ek=celsior Phone 474- Other
FEES
~ Name Si'I c RES. HVAC 0-100 M BTU -$24.00
(D
Address 14 5 25 H ighu ADDITIONAI 50 M BTU - 6.00
2492 (RES. HVAC INCLUDES A/C ON NEW
o cjLj, :Ainw3tc,nka _ph~ane -9345-
--=t30MS'i'fiUCT10N) -
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLlES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
4ther ?efriqeration 58.6
FEE
S/C: • 5 SIGNATGIRE OF PERMITTEE f
~
, TOTAL• ' ~ • .
(fl~'j ~ FOR: CITY OF EAGAN
~ , : s . . . . _ . . , _ . _
CITY OF EAGAN : La 197 17
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for 1011"FAML Est. Value s3,000 Date gEp 23 , 192L_
Site Address 1020 Si Ri3?Y NMgIAL„ Kw
Lot _D,SI. BIOCk _6_ SBC/Sub. S$~'j~1NL20 QFFICE USE ONLY
PefCel No. Occupancy -A- FEES
Zoning -
W Name '?pPFa ltI.DYFST !lAf/AGEIIa,~[.T (Actual) Const _ Bldg. Permit S4_c~o
o Address JAllowable) - Surcharge 1.50
City DEEtHwVEM Phone 47S-OA72 # ot Stories -
lerglh _ Plan Review
=o Name CONSTliIlCTION 70 IlfC DePin - snc, city
U C Address 1430 M CdUlRY jiOAD C S.F. Total
-
cc snc, nncwcc
City ST PAUL Phone 536-5440 S.F. Footprints -
On Site Sewage _ Water Conn
~
W W Name On Site Well - Water Meter
t,-- z-, AddreSS MWCC System - Accy Deposit
City Phone c+ry wa~er _
PRV Required _ S/1N Permit
I hereby acknowlege that I have read this appiication and state that the Booster Pump - S/yy Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances. 7reatment PI
Signature of Permitee 'APPROVALS Road Unit
A euilding Permit is issued to: CONSTAUCYIUN 60 IW Plan^ar - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances, gkig. pry. _ CoPies
Building Official , Variance - TOTAL 55.50
Parmk No. PermN Holder Date Tekphone N
yIATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspwtton Oste Msp. Cammants
FooQngs I
Foundation .
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplaoe
Final Htg.
Orstat Test
Fnal Plbg• Plbg. Inspectw - Noti(y Plumber
Const. Meter
Engr./Plan
Blcig. Foal
Dedc Ftg.
Oeck Fnai
wen
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 'l'' I ' i' 4 rl:.
3830 Pilot Knob Road Permit Number: "a n'•
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
Iiili'r' MYM~~1~~l11
PERMIT SUBTYPE: TYPE OF WORK:
~ , ~ i ~
~ . . II
INSPECTION DA • DA
rtr~ ; I i lv,~ i! ~ „-i• ~~r~ . r n14MitN I 1', .IV!•I'i'ili ! i 1•:,i,1; nM
~ ~
Permk No. PertnR Holdar Date Talaphone Y
~ ELECTRIC
~ PLUMBING
HVAC
Inspectlon Data Insp. Comments
FOOTINGS
FOUND
FRAMINO ~,3c)l-?
ROOFiNO
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL "7~~j/fi rf A
r
BSMT R.I.
BSMT FINAL
DECK F?G
DECK FINAL
„ MRIaQV ODMiTITY GMPDtT PRJJCM . ~ `
~I? ~ •
_ .
WtL'tiftCQfe 0f cCC"Q1iC~
Cri#4 of Cfagan
~c}iartracxt of ~xilbiag ~n~ycctioa
, Thrs Cenificate issued pursuant to the requrrements of the Uniform Buildrng Code
certifyrng that at the time of issuarrce this structure was in compliaece with the various
ordinances of the City regulating building construction or use. For the following:
UxCtasnification:MIM Wq: Bldg. Pefmit No. 29436
pctuPncy Type 7ming piyrict Type Const.
Owoer ot Buiidio6 LIAY71?TA RAY ('jR CY~ Amress P.Q-_BM 834. NF7r1 1if M M
BW,d;pg 3q20 SIffiEY t~+r~tTat. I~bJY~,sry L051, 806, SFCTION 19
. , f / ~ Y Due.
~ r-
- . Baildioa Otficial PO$T IN A CONSPICUOUS PLACE
~
F
++~rie~rl~ i
~
.
l . - -
INSPECTIUN RECORD
~ CItY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
. . . .
(612) 681-4675 , .11
SITE ADDRESS: APPLICANT:
' ; MkNii~,r~?3i . lr~, c
• M ; t
PERMIT SUBTYPE; TYPE OF WORK:
INSPECTION D• . D•
l}11 I i<! >01 702 i' 1111' ~tt? i 1 F i~;:~!: i rq•, :.i+ri
fJh~ l/i~R'~~ ^R4O f'tlR i(i`f'1'E?7!'A1 rrRMT7 A!@ti tN';I't'rTrnp-i
~ ~
L
Permk No. Permit Holdsr Dsta Telephone t
ELECTRIC
~ ~u~ 3a~35
PLUMBING , 'C
HVAC S ~ ~ ~
Inap~ctlon Date In . Comments
FOOTINGS
FOUND
FRAMING d~
0
ROOFING
ROUGH ~ _
PLUMBING a(o f,(~ G -~~9L~ ~ir/ ~ _ -
AIRTEST ~iup/~~ ~
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG _~3y~
/
FINAL HTG
ORSAT
TEST
BLDG FINAL S~ . 1~ ~
BSMT R.I.
BSMT FINAL I
I
DECK FTG I
I
DECK FtNAL ~
~
6 ~ Y~ ~'G~-~
/ ' ~ ~
~°r~ t~~
~ ~f e ~ S ~ ~~G ~
o-• 95~'" ? ~ .S/ / a3
~ u1.<fRVtLE NMJL . , , ~ r -w.?
~ 4.
Wertifica#e of Cccupan c~
Witv of Cfagan
Teoartracxr of 8ui[bing aa0ccrion
This Certificate issued parsuant to the requirements of the Uniform Building Code
certifyirsg that ar the lime of issuance this structure was in campliance with the various
ordirrances of t/ie Ciry regulating building construction or use. For the jo!lowing:
ux aamirKstbon- ODWIlMB KSC aw& aermit Na 32076
Oc-w-r Trae zortina ~ Type con5i.
o.= ot euiwng 49M HW IAQ, I+EW FM
BuiWin6 Admeas YIN $IBIM MM. HWY I.ocaliry T.9.1~~~ ~Pl'.TT[1N 19
1 Daw•
9uildiug Otficial
I POST IN A CONSPICUOUS PLACE
: ' •
rl.~ '
~ 9 I f 5, b ' .
R~ipt i MECHANICALRMIT /1~ Ps~o.
CITY OF EAGAN FN
f!!/ in numbered spaces S/C
i 6; 1 ! Ty~ Of PrlR! IBg%dI y ~ T~
i
F ~
! 1. Date 2. Installation Cost
~ ~ .A~, - , , " , r•, A~
3. Job Atldreas Lot Blk. Tract
l
4. OWn!? 7~.%t_ G~
' 5. Conuactor( ~ r- , _ '}f~, ~/•~r, Phone
6. Addross C~ r ' = ~ f- < cu ; ,
, - -
- 7. Ciri State Zip
8. Buildiny Type: Residential ? Commercial~ Institutional 0
. ~
r
9. Work Description: New ~ Add O Alter O Repair 0
10. Describe ' _ . '.-•g---t Fusl Type.rr A-Z. . ` 1- ai
11. No. Eqt,i nt STU - M. Ea. No. Enuiament CFM
- _ 1-
Forced Air _fy 'Y Air Handliny: ^ ,
Mfg.
~ Boilers Mech, Exhaust
Mfg. '
Unit Heater
Mfg. Other
Air Cond. -
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Jlgned .
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464$100
PERMIT #
..,,.•~i~~ , . " MECHANICAL PERMIT RECEIPT # " -1 ~ .
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRI4PHONE: 454-8100
Site Address
Lot Block Se gLDG. TYPE ~ WORK DESCRIPTION
c%Sub
, + Res. New , x'
< <
m Name`. Mult Add-on
~o Address ' ~ _ ~ t Comm. Repair
Other
c City Phone
FEES
Name~ - RES. HVAC 0-100 M BTU -$24.00
c Address ' ADDITIONAL 50 M 8TU - 6.00
p City~ _ c u, I41Phon - CONSTRUCTION) INCLUDES A/C ON NEW
GAS QiJTLfTS (MINIMUM - 1 PER PEFMIT) - 1.50 EA.
TYPE OF WORK COMM/IAID FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
T018iNrCUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MIIVfI(AUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE _ 20.00
STATE SURCHARGE PER PERMIT .50
Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # R BEYOND $1,000)
Other ,
933Lc $ FEE
. ~
, CI
S' •
5j oQ S/C: SIGNATURE OF PER ITTEE )
~
TOTAL•
FOR: CITY OF EAGAN
_ . _
i. . . . . , . . r.. . . , :rm"r,-rr~r~r..~v-. . .
CITY OF EAGAN
n t~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # - ~
To be used for Est. Value $4sOW Date AVG 26 , 1 g41
Site Address 3920 $IbI.EY ME!lOYIAL 1lYY
Lot ~l_ Block Sec/Sub. 88CTTQ!! 19 OFFICE USE ONLY
PdfC81 N0. Occupancy - FEES
Zoning -
W Name (Adual) Const - Bldg. Permit 63•00
a Address (AJbWab1e) - Surcharge 2.00
City Phone # ot stories _
Length _ Plan Review
o Name CONMtJCTI0N 70 IIIC Depih _ SAC, aly
Address 1430 WOdUli'!Y itQAD C S.F. Toial
U'-` City B03EVILLB Phone 636--4390 S.F. footprints _ SAC, MCWCC
~ On Site Sewage _ Water Conn
Name on siie wen - waier r~necer
Addfess MwCC 5ystem
i W City PhOne City Water _ Acct. DePosit
PRV Required - SNV Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee , 6. ' APPROVALS Road Unit
CO~NSTRUCTIOIi 70 INC ~anner
A Building Permit is issued to: - Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable Slate of Minnesota Statules and City ol Eagan Ordinances. gldg, pry, _ Copies
Building OffiCial i'~{F Variance - TOTAL 65.00
F
PermH No. Permit Holder Dete Telaphone k
WATER
SEVYER
PIUMBING
H.VAC.
ELECTRIC
Inspection Date insp. Commenb
Footings I
Foundation .
Framing
Roofing .
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspeclor - Notily Plumber
Const. Meter
EngrJPlan
Bidg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
GitAt~~ SLAD4) CITY OF EAGAN f~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~
BUIIDING PERMIT Receipt #
To be used tor Est. value ;1 S r000 oate AUG 29 , t 9-9L_
Site address 3920 8IBLEY MBl1D8UL HMY
Lot 031 glock ~ Sec/Sub. 8~T101~ 19 OFFICE USE ONLY
PBfCEI N0. Occupancy - FEES
Zoning -
W Name 30EiN VAt~ERA1?~DB (Actual) Const _ Bldg. Permit 1b2.00
o Address 113 13STEi S? (auowabie) - ?.sp
City ~11~!lSVII.L.B PhOne 892-OOaO # of Stories _ Surcnarge
_ Plan Review 105.00
length
=p Name Depth - SAC, City
LO¢ Address S.F.To1al - SAC,MCWCC
~ City Phone S.F. Footprints -
On Site Sewage _ Water Conn
°C Name on site weli
w - Water Meter
_z AddreSS MwCC System -
< W City PhOne Ciry Water _
PRV Required _ SM+ Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SM Surcharge
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City,lf Eagan Ordinances. Treatment PI
Signature ot Permitee ~ •„/.t, ~ APPROYALS Road Unit
A euilding Permit is issued to: JOHN VAI'1DERAARDE Planner - Park ded.
on the express condition thai all work shall be done in accordance with all ~uncil -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Oft. _ COP'es
Variance - TOTAL 274.50
Building Official
Pern+k No. Pem~N Hotder Date Telephone 8
WATER
SEW&R
PLUMBMlG
H.VAC.
ELECTRIC
Mapsction Oete Insp. Comments
Footings I
Foundstion
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspeclor - Noti(y Plumber
Const. Meler
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
~ Y ~ • w ! , 1 ~
• t
Terti#i.cate nf (Orrupanry
titp of (tagan
Mrpwbnrat of NuiWng JWrrtiutr
J This Cerrif:cate issued pursuant to tJre nequirements of Section 306 ojthe Urtifon?t Building
Code certifying that at the tiirre of issuance this structure was in compliance with the mrious
ordinances of the City regulating building construction or use. For the following.•
uWaW36ewioRAOGM+I. INT. WR.-AMMMFELAND e,a&R,m;t rb. 19617
Occun-r Tsx Z-* Dium I~w COOL
Owroer of ~ JGE~1 VAt~FRA1~E ~ 113 135Ii 5T. . ~
em~m~ naa~ 3420 $IEm mDURIAL HdY. t,=htyIA51. H6, SDCITQ+i 14
p,tm II/ld/Q1
ewldng oBidJ
POST IN A CONSPICUOUS PLJICE
This ~yquest void
1
8 ~ pn~hs fwm ~ / ~
D °3368 s30''
Reqvest Uate Fire No. RouPh-in InsUer,~io
Required? ~Ready Now .ill Notify Inspec-
~ ?Yes o lor When PeaAy
icensBd Electrical Contractor I hareby request inspection of above
? Owner elactrical work installed at
Street Adtlress, Box or Ho re o. Ciry
/ ~
?on o. TownsM1ip Name r No. Ranpe No. County
0 Cupanf (PqINT) Phone No.
e~ulE. ~To2~
Power $upplier Address
Elec[rical Coolract ~~ICIM~VfTI IV l~n~'~M Contrar,mr*s License ~No.
Gi q',IIII qV.
Mailine AAJress (COntractor or OB"IrVwig Instailation)
MDRIFJW"r ~ W26
Au~horized SiNnat (C Vactor Insta tinnl Phone Number
MINNESOTA STATE BO ND OF ELECTflICIT THIS INSVECTION REQUEST WILL NOi
Gripps-Mitlwev Bldg. - Noom N-197 BE HCCEPTE~ BY THE STATE BOAND
7821 Univeraitv Ave., St. Paul, MN 55704 UNLE55 PNOPEN INSPECTION FEE IS
Phone(6t2) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
See instructiens br comDleting this imm an bnck ot Vellow copy.
~ '33 3 6$ "X" Below Woik Covered by This Request
Fdd Rap. Type ol Builtlin0 AoClinncea Wired EQUiument Wired
Home Range Temporary Service
Duplex Water Heater Li,yhtiny Fixtures
A Dryer Electric HeaUn
Commercial BIAg- Furnace Silo Unloader
In us ri g. Air Conditioner Bulk Milk Tank
Farm Other peu v i~nrl5ne~viv) - a
t er Succiry t er otne,
ompute lnspection fee Below
. p Fee ServicaEnVenceSiie tt Fee Feadars/SObieetlers N Fee Circu~ts
0 to 200 qmps 0 to 30 Am s 0 tn 3
Above 200 Amps, 31 to 100 Amps 1 100 5
Swimming Pool Above 100-Amps Above 100_Am s
Transiormers Irrigation Boorcis Pertial."Other Fee
Signs Special Inspection 5
Remark TOTAL FEE
flouBh-in ( Dati I, Ne Electrical
Inspectoq M1erebV
certilv th e above
Final ~ U'11e ins ion hes b e
de.
(nin repuest void 18 montha fwm
TAis e uest vold~j~l//f/Q
18 nfJiths Irom O~ v V C~
E *12 6 37.GaV ,
1 flequest ULie _ R Fire No. Roogh-in uection
Re ire ~Re. Ay Now I Nolity Inspec-
~6~~° s ?No ~or When Reatly
icensed Electrical GonVactor I hereby request insoection oi above
? Owner electrical work inslalled at:
Stree ,~ddr s~oz or Routa ~ CitV
!
ectmn o. Township Name o No. Range No. Coumy
Occu am (PflINT) Phone No.
~N r
Power $up lier AAdress
Elec[i ical Cnn Contrac~or's Liconse No./
MBUMLAMMMT
Mailing AtlJress (ConVactor akinP Insteilation)
UMdEAPOM MN 55M
one Number
Authorized Si u ~Con Maki nsiallmioN Ph
~
17217
MINNESOTA STqTE BOARD OF ELEC RICITV• THIS INSVECTION PEQUEST WIIL NOT
Griggs-MiOwey e1Ce. - paam N•191 BE ACCEPTED BY THE STqTE 90ApD 1821 Universitv Ave.. St. Paul. MN 55104 UNLESS PNOPEH INSPECTIDN FEE IS
Phona15121642-OBOO ENCLOSE~.
REQUEST FOH ELEC7RICAL INSPECTION ee-oooo1-os
, See insImciions lor com0leling this torm on beck ol yellow copy. ~
E'" 12637. "X" Below Work Covered by 7his Requesf
AAtl AeP. ' Type of 8uiltling Appliancna Wired Equipment Wired
Home Fange Temporary Service
Duplex Water Heater Li{)htinp Fixtures
Dryer Electric Heatin
Commercial Bldy. ` Fumuce Silo Unloader
Industna dg. Air Conditioner 8ulk Milk Tnnk
FBfm Othr.r Soeci y Oih, ISnar.,lyl
[ er Vecily Other Othqr
ompute Inspection fee Below
p Fee ServiceEnhencaSiza H Fea Fxxtlers/Subfexders k Fee Circwts
U'to 200 Am s 0 to 30 qm s n 30 Ait~ .s
Above 200 qmps 31 to 100 Amps to 100 Am s
Swimming Pool Above 100-Amps Above 100_Am~S
Transiormers Irrigation Booms Partial-Other Fee
Signs 'ial Ins' ction S
Nemarks V OTAL FEE, ~
Rough-in I, the Elecbicnl
7 Inspector, hereby
certify ihet the above
Final i has bean
/ metle.
fhiareQueslvoltll8monlhalrom
~
This,cequesl void q//S fp~pr
18 rtqn(hs from <l ~00 <G ~ /
D 92 6bb~
Request I]ate Fire. No. Rouph-in insur:clion ~
. Reqm~tA? qeaAy Nuwl Notily, InsVec-
?~es ?No When PeadY
. License+ Elecvical Convactor 1 hereby request inspection of above
? Ownet electricel work installed at:
Sveei Address, Box or Route No. Ciiy
. 3 i I;/I w ~ N
ecLOn o. T wnship Name ur No. Range No. Counly
1`~ Co
Occopant IPRINTI Phone Nn.
_I
Power SuPVlier Adtlress
Electrical ConVa~c/~pr ICompany Namel~ Contracm}r's License No.
Maihnq AdJress ( ontractor or Owner Makinp Installation)
?z 3q Jf c-/a ,c A~
AutAOrized Sienature (COnvactor/Ow Yaking Jn"stallation) Phone N~m er
MINNESOTq STATE BOqBD Of ELECTqICITV r$1'pHy~(Gl/~-~,{~ THIS INSPECTION qEQUEST WILL NOT
Grieus-MidweV BId9. - Aoom N-191 BE ACCEPTED BY THE STqTE BOAND
1821 Universitv Ave.. S1. Peul, MN 65104 ~ UNLESS PqOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
p( ~Xy REQUEST FOR ELECTRICAL INSPECTION Es-ooooi-os
Il59a instructions for comolelinp this form on beck of Vellow copy.
"X" Below Work Covered by lhis Request
Hdd Reo. TVPe ol Buileing AoPlionces Wired Equipmem WireO
Home Range Temporary Service
Duple.x Water Heater Lightin Fixtures
Apt. BuilAing Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ONer oe.:, v 1ner ISUenfvl
t er Sueu y Other nihur
ompute Inspectiaii Fee Below
N Fee Service EnVanceSiza M Fee Fexdws/5ubieeders a Fee Circaits
0 to 200 qm s 0 to 30 Am s / e 0 to 30 Am o
A6ove 200 Amps. 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 700 PS
Transiormers Irrigation Booms Partial.'0 er Fee
Signs Special Inspection
Nema.ks ~ TOTAL E V
I Nough-in Date 1.thn Elac
Inspeclor. hereby
rlily Ihei iha nbove
I Final inspection has Eeen
made.
TMarequeslvolai8monihsirom ' .
0,4660 0 :o 9oo - o -
o(p
Repuest Date - Fire No. Rough-in Inspection NOTICE: Vou Muat Call Electrical Inspector
Requiretl? II A Rough-In Inspedion
? Ves CXNo IS Requiretl.
4_ADY d
I[)4icensed contractor ? owner hereby request inspection of above elecirical work at:
Job Pddrass (Sireat, Box or Route No.) City
r3 9/'{ w y J3 EG.st x/
$ection No. Township Nama or No. Range No. Couny '
DA/laTl,z
Occupant(PRINn Phone No.
SA1 Yo15 ?z
Power Supplier Atltlress
ElacMCal Comrndor (COmpeny Neme) Coniractor's license No.
C ~i~~ t' GA e2t~~
If
Mailing ACdress iContaclor or Owner Making Installation)
7 F,Z i /KG CLaL CD~~ f7ofI>ol/L hr
Aulho' SgnaWre (ConVactor/Owner M'ng InsUllaUO ) Phone Number
~ Cl/l~v-'yn` 'yZ - 5'dU a
MINNESOTA STATE BOAHO OF ELECTRICIT' THIS INSPECTION REOUEST WILL NOT
GriggsMiCway Bltlg. - Hoom 5-1T3 8E ACCEPTEO BV THE STATE BOARD
1821 Onlverslry Ave., S[. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwne (614) 642-0800 ENCLOSED,
G~REQUESTFORELECTRICALINSPECTION eaooooios
7 ~ See inslmptid{s lor completing Ihis lorm o~n back of yellow wpy.
, 0 4 6 6 0 'X" Below Work Covled b}t This Request
ew Atltl Rep. 7ypeoiBuilding AppliancesWired EquipmentWired
Home Rdflge Temporary Service
' Duplax Water Heater 4EIectric Heating
Apt. Building Dryer ad Management
Comm./Intlustrial Furnace her (Specify)
Farm Air Conditioner
Other (scec,ly) Conlrndar5 FemarksJ C~R T E
MA-t Ii CiCr i~2 p
- ompute Inspection Fee Below: f~s I Y/ F F~
Other Fee # ServiceEntranceSlze Fee # Circuits/Feetlere Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr5 Use Only: F TAL C
Irtigation Booms 7 d
Special lnspection O~
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eledrical Inspector, hereby Rouyn;n oare
certify that ihe ahove inspection has Flnal , ( oate G~~,`-
been made.
OFFlCE USE ONLY '
This request witl 16 months trom
OFFlCE USE ONLY This requesl wid 18 months (rom vnlidolion dale prinled in Ihis boz.
w I IIII II I~I II III II III II I I II III II I I I III II III I IIII~.rJ~! X7 H~`~ / 1 ~ 9G oy
* 11 4 0 L 2 6 9 6# pLEASE PRINT OR TYPE
Requesi Dok RoagMn inspection requireda Yes ? No Inspecfion Olher Than Rov9Mn: ? Reody Now 0 Will Call
.r ~ ~Yo~ moat mll the inspxwr r d~ Dooe Ready:
I, Pkicensed controclor ? owner hereby request inspectian of the above elxlrical work at:
Job Mdreu (SVeet, Box, a Roule No.) Zip Coda
' LE iry m~lr~ EA64YV la
Setlio¢ No. Township Name or IJo. Ra,a Na. fire Couny
Occu Phaie No. %Cl ~r w1- ~ /
~'~s
PowerSuppier ddrass
Elecrcicoi Cwhocror (Compony Nome) Conhacfor license No. Mosier lic. No. (%ont Elect. Only)
Moiline~~y~p~yQY~ anon~
1R~~ MIQ
ANhaized Instollotionl Plwne No.
EBDOOOIhI 1 8/96 STATE BOAPD COPY - SEE 1 RIICilONS ON BACK OF YELLOW COPY
0 nc REQUEST FOR ELECTRICAL INSPECTION -
A..el G C~ J ~ Minnmta
Univ rstaneABoarRm. 8-128, 1St. Paul, MN 55104
~ .f / 9 7 Phone (612) 642-0800
Home Duplex Apt. Bld . Other. New Addn
Commerciol Industrial Farm Remod Re air
Air Cond. Ht . Equip. Wafer Htr. Load Mgmt. Other.
Dryer Ronge Elx. Heat Temp. Servica
"X" obove fhe work covered by fhis r quest. Enter remarks in this spoce and on the back of fhe white copy only.
Calculate Inspecfion Fee - This Inspeclion Request will not be accepted wilhouf the correcl fee:
Other Fee # Service Entrance Size Fee # CircuiLS/Feeders Fee
' Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Strcelltg./Traffic Sig. Above 200_Am s Above 100_Amps
TransFormer/Genemfor INSPECTOB'S USE ONLY TOTA
Sign/Outline Ltg. Xfmr. ~
i
Alorm/Remote CoNrol
Swimming Pool
I hareb cenl ihm I in .glechiml insalkNon deur6ed heratn on Ihe daks smtad
Irrigafion Boom go„g~n /oore
Speciol Inspeclion
rT Do
Investigafive Fee
THIS MSTALLATION MAY BE ORDER CbANEC7ED IP NOT COMPLETED WITHIN 8 MONTHS.
SNYDERS CITY OF E 4GAN N_ 15190
3830 Pilot Knob Road, P.O~ o, 1-199, Eagan, MN 55121
,1 c I
47. 454-8100 Receipt
BUILDING PERMIT~~
To be used for ~ Est. VaIu$95,000 Date JUNE 14 19 88
Site Address 3914 SIBLEY MEMORIAL HWY OFFICE USE ONLY
Lot 051 Block 6 Sec/Sub. SECTION 19 On Site Sewage _ Occupancy B-2
MWCCSystem _ Zoning
Parcel No. On Site Well _ (Actuap Const
a Name UPPER MIDWEST MANAGEMENT CORP Cirywarer _ (Allowable)
w PRV Required - # of Stories
z Address 1106 S BRAODWAY SO% 834
p Boos[er Pump _ Length
City NEW OLM phone (507) 359-2004
Depth
, o Name STEVEN MERRIFIELD S.F.iotai
~a Address 8622 ALDRICH AVE 5 FootpdntS.F.
'
P City BLOOMINGTONphone 881-5716 qppROVALS FEES
w Name Engr./Assess. Permit 554.DO
w
~i Address Planner Swcharge 47.50
Q W City PhonC Council Plan Review 277.00
Bldg. ON. SAC, City
I hereby acknowledge ihat I have read this applicati ~ and state that Ihe Variance SAC, MWCC
information is correct and agree omply with applicable State of Water Conn
Minnesota Sfatutes antl Ciry o Ortlima c s.
Signature of Permittee Water Meter
Roatl Unit
A Building Permit is issued to:_S-TYMNMERRIFIEI.D Treatmen[ P1
on the express condition that all work shall be done in accordance wit h all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 878•SO
BuildingOfficial tm i\.lAA' I 1-h
CEDARVALE TONING SALON CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15794
PHOM s E:454-8700
BUILDING PERMIT ' Receipt# ~
70 6e used for INT. IMPR. Est. Value 1'-' ' $600
Date /00 ,19 Y
Site Address 3916 SIBLEY MEMORIAL HWY OFFICE USE ONLY
Lot Block Sec/Sub. 10-01900-051-06 On5ite5ewage _ Occupancy
MWCCSystem _ Zoning
Parcel No.
On Site Well _ (ACtual) Const
a Name BOB VANDER AARDE Ciry Water _ (Allowa6le)
w
z Address 14017 FRONTIER LN PRV Required _ # ot Stories
° City B' VILLE phone 432-8843 aooster Pump _ Length
Depih
, p Name SAME S.F.Total
Oa AddrESS FootDrintS.F.
U
: City Phone APPROVALS FEES
W W Engr./ASSess. Permit $16.00
Name 50
~ W Planner Surcharge .
i z., Address
Q W City Phone Council Plan Review
BId9.OfL SAQ City
I hereby acknowleA at I have read this application and sta[e that the Variance SAC, MWCC
intormation is co~r t a d a9ree compty wiM all appli/ le Slate of Waler Conn.
MinnesotaStatutean EganOrdinances.
Water Meter
SignaNre of Permit e Road Unit
~ BOB VANDER AARDE
A Building Permi~ i' ue to_ Treatment Pi
ontheexpresscontlition}hatallworkshall6edonein'accordancewithall
applicable State of Minnesota Statutes and City of ga ~O inances. ~gX (COPY-~-~-~
_ TOTAL 1$.00
Building Official_
_ j'
CITY OF EAGAN No .19717
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100 Receipt # G I C-
To be used for INIMoR DgICVEMMr Est. Value $3, 000 Date SEP 23 1991
Site Addre55 3920 S..Y .MOR A. H
L0t ~ BIOCk 6_ SeC/SUb. SECTION 19 OFFICE USE ONLY
Parcel No. occuvancy A FEES
ZAning -
m NBme 1IPPER MIDWF:ST MANAGFMF.NT (ACiuap Const _ Bldg. Permii 54_ (10
W
o Address (Allowable) - Surcharge 1.50
City DEEPHAVEN phone 475-0072 xotscorie: -
Lenglh _ Plan Feview
;Ea Name CONSTRUCTION 70 INC pepth - SAC.City
0° Address 1430 W COUNTY ROAD C S.F.rocal
~a SAC, MCWCC
~ City ST PAUL Phane 636-5490 S.F. Faotprinls -
Fiuzl On Site Sewage _ Water Conn
Name On Site Well - Water Meter
Address r~nwccSysiem
-
City Phone Ciry Waler _ Acct. Deposit
PRV Required - SNJ Permit
I hereGy acknowlege that I have read ihis application and slate that the Booster Pump - gM1 Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Slatutes and City oi an Ordinan s. 7reatment PI
SignalurB Of Permitee APPROYALS poad Unit
A Builtling Permi[ is issued to: CONSTRUCTION 70 Pianner - park Dad.
on Ihe express condition that all work shall be done in accordance with all Council
applicable Slate of Minnesota StaWtas and Ci1y oi Eagan Ordinances. gldy pry_ _ CaPles
BuildingOflicial., Variance - TOTAL j5.50
nDvenrnREraNo
(GRAND SLAM) CITY OF EAGAN Np 1 96 1 7
3630 Pilot Knob Road, Pr.J. Box4$1-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100
Receipt #
~
01442CIAL
To be used for IN1ERICR IMPROVE~M Est. Value $15, 000 Date AUG 29 , 1991
Site Address 3920 SIBLEY MEMDRIAL HWY
Lot 051 Block 06 Sec/Sub SECTION 19 OFFICE USE ONLY
.
P2fCBl NO. Occupancy - FEES
2oning _
w Name .70HN VANDERAARDE (Aduap Const _ Bldg. Permit 162.00
~ Address 113 135TH ST (qllowable) - 7,50
° City BURNSVILLE PhOne $92-0080 Bof Stodes _ Surcharge
Lerglh _ Plan Review 105.00
}o Name SAME oepm - sac, Gty
gp Address S.F.Tolal - gqC,MCWCC
~ City Phone S.F. FOOtprinls -
On SNe Sawage _ Water Conn
Name OnSiteWell - WalerMeter
AddfeSS MWCCSystem _
iw Oiiy PhOf10 City Water _ Acct. Deposil
PRV Required - 5/VJ Permit
I hereby acknowlege that I have read ihis application and stale that the Booster Pump - Srw Surcharge
information is corced and agree to comply with all applicable State ot
Minnesota StaNtes and Cit 1 Eag Ord/inances. Treatment PI
Signature ol Permitee J~ AVPROVALS qoad Unit
A 8uilding Permit i5 i5 d to: JOHN VANDERAARDE wanner - Park Ded,
on the express condit n that all work shall 6e done in accordance with all
applicable State of Minne^s,ola SQtatule,sI and City~ /ol Eagan Ordinances. Bld9. Oft Copies
BuildingOfficial Variance - 70TAL Z74.50
l
CITY OF EAGAN Np 19603
3830 Pilot Knob Hoad, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHONEi454-8'fb0 Receipt # C i S I O~
OCHMERCIAI.
TobeusedforINIEPiCR 1~~ Est.Value $4, 000 Date AUG 26 , ~g91
Site Address 3920 SIBLEY MEMORIAL HWY
Lat 051 glock 06 Sec/Sub. SECTION 19 OFFICE USE ONLY
PefC81 NO. Occupancy - FEES
Zaning -
w Name (ACtuap Const - Bldg. Permit 63.00
o Address (Allowable) - Surcharge 2.00
CIIY PhOn2 FolStories -
Lengih _ Plan Review
o Name CONSTRUCTION 70 INC Depih - SAC, Cily
0~ Address 1430 W COl7NTY ROAD C s.F.rocai
sac, Mcwcc
City ROSEVILLE Phone 636-4390 S.F. Footprinis =
On Site Sewage - Water Conn
~
W w Name On Sila Well - Water Meter
AddfBSS MWCCSystem _
Acd. Deposit
`<W City Phone Cilr Water -
PRV Required _ SNJ Permit
I hereby acknowlege that 1 have read lhis application and state that the Booster Pump - SnN Surcharge
information is correct and aqree to comply wiih all applicable State of
Minnesota Statutes e ity of an Ordin/ances. Treatmeni PI
Signature ot Permi ? APPROVALS Road Unit
CONSTRUCTION 70 INC wanner
A Building Perm ~ issued to: - Park Ded.
on Ihe express contlition thal all work shall be done in accordance with all Council
applicaDle State of Minnesota 0Statutes and City af Eagan Ordinances. g~y, pn Copies
BuildingOflicial nlx1 Il,01-ti,~ Variance - TOTAL 65.00
CEDARVALE CITY OF EAGAN rJ0- 14858
COAST TO COAST 3830 Pilot Knob Raad, P.O. Qox 2''199; Eagan, MN 55121
PHO N E: 454-8 00
BUILDING PERMIT Receipt# X ak`r'1 c~ I
To be used for INTERIOR Est. Value $35, 000 Date APRIL 19 19
IASPROVEMENT ,
Site Address 3920 SIBLEY MEMORIAL HWY OFFICE USE ONLY
Lot 051 glock 6 Sec/Sub.10-01900-051-06 On Site Sewage - occupancy B-2
MWCCSyslem _ Zoning
Parcet NO. OnSiteWell - (ACtuaqConst
a Name UmR1C City Water _ (Allowable)
W 1106 S BROADWAY PRV Required # of Stories
z Address -
o Booster Pump _ Length . 1201
City NEW ULM Phone (507) 359-2004
Depth
, o Name SAME S.F.7otai
~a AddrBSS FootprintS.F.
: City Phone pppROVALS FEES
~ a Engr./ASSess. Permit _28 0
F W Neme Planner Surcharge 1.7150
iz. Address 14"~•n0
Q W City Phone Council Plan Review
Bldg. Off. SAC, Ciry
I hereby acknowledge that I have read Ihis application and State that the VarianCe SAC, MWCC
information is correct and agree [o comply with all applicable State of Water Conn.
Minnesota Stetutes and City of Eagan Ordinancea
~ Water Meter
Signature of Permitteex&"~~~ - Road Unit
A Building Permit is issued to: UmmC Treatment P7
on the express cond ition that all work shal I 6e done i n accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL 446.50
Building Official_yd.ouu
I
5-e Q37\ U y-, l~ CONIMERCIAL BUILDING
Permit Apptication
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
q ( Telephone # 651-675-5675 FAX # 651-675-5694
l
FoundaGon Onl New Buildin Interior Im rovement
• Structural Plans (2) sels • Architectural Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • SWctural Plans (2) • CodeMalysis (t) "
• CertificateofSUrvey (1) . CivilPlans (2) • ProjectSpecs (1)
• CodeMalysis (1) . LandsrapingPlans (2) • KeyPlan (t)
• ProjectSpecs (7) • CodeAnalysis (1) " • Master Exit Plan (1)
. Spec. Insp. & Testing Schedule • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (t) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be established . Meter size must be esfablished • Meter size mustbe estabiished-'rf applicable
! • ProjectSpecs (1) 1 • EnergyCalculations (1)
! • Electric Power & Lighting Form (1)
1 . MasterEzitPlan (1) 1
1 • Emergency Response Site Plan (1)
1 . SoilsReport (1) 1
• SAC determinatlon - call 651-602-1000 • SAC detertnination - call 651-602-1000 SAC detertnination - czll 651-602-1000
CaII MN Dept of Health at 651-215-0700 for details regazding Food & beverage or lodging facilities. •
Contact Building Inspec[ions for sample and if required when it sta[es "not always". *t• Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date I L) / 9 / ~J Construction Cost 5 ;Z e--> n
Site Address 7J I Unit/Ste #
Tenant Name CGCj. l.x.n.kyier enant Name
Description of Work -GL~le41k-U t "A9,p-2 ~
Property Owner Telephone #(L.d~ 3~I I 3~
Contractor c~
.
G~~.~y~ -~YIX~(!)r- ~h
Address L City NACA 4D
~
State ~1-\ Zip vszur,:4 Telephone#(49~ `~'jl ( -3000
Arch/Engr ' k~OL Registration #
Address City
State Zip Telephone 1) I~ 11 T ~ ~I
Q 9 2^n7
Licensed plumber Installing new sewerlwater serviee: Phone u
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemut, but only an application for a pernut, and work is not to start without a
pernut; that the work will be in accordance with the appr ved plan in the of work which requires a review and
approval of plans.
.
ApplicanYs Printed Name ApplicanYs Signature
~
OFFICE USE ONLY ~ r
Sub Types
? Ol Foundation Ll 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments k~" 27 CommerciaUIndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
X"33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Si 2-cO ~ Occupancy ~ MC/ES System ~
Census Code 43'7 Zoning City Water
SAC Units - b- Stories Booster Pump
Nbr. of Units o Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered ~
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
Footings (addirion) _ Plumbing
?Foundation COM PILLIA1ir HVAC
_ Drain Tile ptbff
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By: , Planning Division Approved ByI..L'A'1 Building Inspector
- - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
SNV Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
13700 BARTON MCGRAY 38800 JENSEN'S SUPPER CLUB
' 16800 CEDAR INDUSTRIAL PK 47285 MARDELANN
16901 CEDARVALE 2ND
SIBLEY MEMORIAL HIGHWAY (PAGE 2 OF 3)
3296 10 00800 011 75
3336 10 00800 022 75
3344 10 00800 031 75
3381 10 00800 012 76 (TELEPHONE EQUIPMENTBLDGJ
3385 10 00800 02076 (VALLEY LOl1NGE)
3575 lO 47Z$S OlO OI (LAHAAS MFG. & SALES C0.)
3645 10 01700 01050
3665 10 16800 030 02 (LAFONDA'S RESTAUitaN'1)
3735 10 16800 02002 (ALL AMERICAN STORAGE)
3771 10 16800 02001 (FREIGHTMASTER & PIPELINE SUPPLY)
02301
3808 10 01900 010 04 (EXPRESS DONUTS - DEMOLISHED 5l02)
3810 10 01900 02004 (TWIN CiTY POULTRY - DEMOLISHED 5/02)
3814 IRRIGATION METER
3820 10 01900 05004 (TEXACO GAS STATIOr)
3830 10 16901 02001 (TEXACO CONVENIENCE STORE)
3840 10 38800 01001 (JENSEN'S SuvPER CLUS)
3880 10 16901 04001 (MN CREDIT [miroN)
3900 10 01900 01006 (PREMIER - telemarketing)
3910 10 01900 073 06 (CEDAR OFFICE BLDG)
3914 10 01900 05106
3916 10 01900 05106
3918 10 01900 05106
3920 10 01900 05106 (LIFESPAN BEHAVIORAL HEALTH SERVICES)
(FIREWORKSTENT6/03)
(SECURII'Y GATE 10/03)
3924 10 01900 05106 (MtKE's SxoE REvAIa)
3926 10 01900 05106 (CEDnRVALE TAILORS)
3928 10 01900 051 06
3930 10 01900 05106
3932 10 01900 051 06
4
, - 612 827 0805
15-10-03:11:37AM;MATTSON/MACDONALD :612 827 0805 O 1/ 2
MATTSON/MACDONALD INC.
STRiJGTURAL ENOINEERS
7516 W. LAKE STREET
MINNEAPOL.IS, MINNESOTA S5408 (678)827-7825
FAX TRANSMITTAL
To: Lisa Sutter Fax No: 612359,5858
Firm: SR Construction Services Date: 10/15103
Project: Cedar Vale - security gate No. of Pages: 2 '
From: Joe Cain Cc:~Craig_bL--659-675-5694
Lisa,
Attached is the revised letter.
Please call if you have any questions.
Thanks,
If there are any problems with this transmission please call (612) 827-7825
~ 15-10-03:11:37AM;MATTSON/MACDOPIALD :612 827 OHOS # 2/ 2
1
MATTSON/MACDOWALD INC.
STRUGTURAL ENGINEERS
1596 W. LAKE STREET, #902 , - MINNEAPOLIS. MINNESOTA 55408 - [612) 627-7625
October 15, 2003
Lisa Sutter
SR Conshuction Services, Inc.
615 First Ave NE Suite 500
Minneapolis, Minnesota 55413
Re: Cedaz Vale - Security gate
3920 Sibley Memorial Highway
Eagan, Minnesota
M/M # 0346T
Deaz Lisa:
The purpose of tlus lettei is to document that I have visited the site and rev,ie.wed the
proposed installation of the coiling securiry gate. The new gate is. to rep2ace the exis'ting _
gate that separates the southwest end of the mall fivm the remainder of the mall. It is my .
opinion that the existing struchzre is adequate for suppoR of the new gate:
As I understand it the new gate will weigh approximately 1,5001bs and is.essenually .
supported at each end. The support frame of the gate coil will be fastened to the 10" .
concrete block bearing wall at each of the opening jambs., - The contractor will yerify the
layout and position of the fasteners and ensure that the pioper fastener type is used: It .
should be fastened to solid grouted concrete block (not the face shells of hollow block)
with expansion bolts or epoxy anchors.
The corefilI grout should have a minimum 28 day compressive strength of 3,000 psi. The
block cores should be filled one full course below the bohs and 4 inches each side and
above each bolt.
~ If you have any questions please do not fiesitate to call.
Simcerely,
a o onald, Lnc.
Io hn~~P.E. MN#40119
EAGAN-~
<BY
DATE _
~ BUILDINu INSPECl uLrT.
~
~ -
LifeSpan
December 8, 2003 DEC 1 12003
By
Mr. Mike Ridley
Senior Planner
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
RE: LifeSpan Behavioral Services
Cedarvale Shopping Center
Eagan, MN
Dear Mike:
I was asked by the owner of Gedarvale Shopping Center to send you a description of
what LifeSpan Behavioral Services is and the services the company provides.
LifeSpan is a private mental health agency that serves children with Severe Emotional
Disturbed and/or Emotional Behavior Disorders. LifeSpan provides Day Treatment and
therapy for these children and their families.
Don May, current CEO of LifeSpan, founded HRA Associates over thirty yeazs ago. The
company, which provided services similaz to those offered by Lifespan today, leased
space in the Cedarvale Shopping Center in 1994. HRA Associates merged with the
Linden Center to form LifeSpan in 1997.
Sincerely,
Rhonda Suedbeck
Business Manager
cc: Brad Schafer
3920 Sibley Memorial Highway • Eagan, MN 55122 • Phone (651) 681-0616 • Fax (651) 681-0747 • www.lifespanbhs.com
An Equal Opportunity Employer / An Alfirmative Acfion Employer
PLUMBING (COMNIERCIAL)
Permit Application
City Of Eagan
q p- 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Date Lo/
SiteAddress _~nZ_p SltL,~ctn Nh4JbSN6! Unit#
Tenant Name~ Forroer Tenant Name
~
Property Owner Telephone q ( )
Contractor p
Address ~ ` O 41 City State Ay\x') Zip C--Lq Teiephone #~A~j`j s33- 3Q~ p
The Applicant is _ Owner Conuactor _ Other
Work Type _ New Bldg Add-on Repair RPZ PVB Irrigation system *
' Jer Wobschall [o calculare fees. Re uired meter size is 2" turbo unless smaller size ermitted b Public Works
Descrip[ion of Work X ~ ~Ve ~b N
To inquire if Pressu Reducing Valve•is required on new service, call 651-675-5646
Meters - Ca11 651-675-5 300 ro verify that hydrostatic, conductivity, and bacteria tests passed prior to oickine uo meter
Irrigation Size & Type Avg GPM
Fire Size & Price 3/4" disnlacement $156.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
~7 s • ~,s
Contract Value $ x 1% _ $ Base Fee
$ Meter(s)
Required on all new buildings & boulevard irri¢ation svstems $ Radio Meter Read
Ifbase Fee is $1,000 or less, surcharge is $50 $ State SutCherge
If base fee is over $1,000, surcharge is $.50 per 51,000 af [he Base Fee
Following fees apply only w6en installing oew irrigation system Wa[er Permit~
Contact Jerry Wobschall at 651 fi75-5024 for required fee amounts ~ 1-'
$ I ' ~ ~'TieahnentPlant
$ I' W i I Y"'' W'altiLr Supply & Storage
$ 11 State Surchazge
~gy _
$ _Tota;
1 Fee
[ hereby apply for a Commercial Plumbing Permit and acknowledge that the infoimation is complete and acwrate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand thSs is not a pemut, but only an
application for a permit, and work is not to start without a pemilt; that the work will be in accordance with the approved plan in the case of work
which requires a review and approval of plans.
-
I ApplicanYs Printed ame Appl~espt's Signature
~
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Final
PLANS SUBMITTED APPROVED BY: ~7 P CO BUILDI(VG INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00
• RPZ's must be rebuilt every five years. A minimum fee permit per address is required for RPZ rebuilding or repairing.
• Water meters include copper horn/suainer, remote wue, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" irrigation sySt $ 781.00
displacement smcommercial turbine" must PeCeiVe
maximum
continuous approval
lo from Public
Works
2-30 3/4" lawn urigation $156.00 4-160 2" htrbine lg irrigation syst $ 982.00
maximum displacement residential &
conanuous sm commercial production lines
15
3-50 1" displacement very lg res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00
bldg to 24 units 65 units
maximum sm commercial &
continuous & ig comm bldgs
25 uri ation s stems
5-100 1-1/2" bldgs 25-64 units $484.00
maximum displacement &
continuous most coxnm bldgs
50
METERS_REQUIRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very lg irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & production very Ig comm bldgs
Iines
1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig comm btdgs very Ig comm bldgs
15-1000 4" turbine very lg irrigation $2,329.00
syst
& productionlines
Commenu
• To schedule inspection of the inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water turn-on, ca11 65 1-675-5 3 00.
cc: Main[enance Division Clerical'fechnician Updated 1103
COMMERCIAL BUILDING
Permit Applicarion ~ ' ~
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
v
5- 1~ G b ~ Telephone # 651-675-5675 FAX # 651-675-5694 C) \
O
Foundation Onl New Buildin Interior Im rovement
• Structural Plans (2) sets • ArchitecWral Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• Certificate of Survey (t) • Civil Plans (2) . Project Specs (1)
• Code Malysis (1) . Landscaping Plans (2) • Key Plan (1)
• Project Specs (t) • Code Malysis (1) . Master Exit Plan (1)
• Spec. Insp. & TesUng Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. 8 Testing Schedule (1) • Elec. Power & Lighting Fortn (1) not always"
. Meter size must be established . Meter size must be esWblished • Meter size must be established-'rf applidble
y • PraJectSpecs (1)
1 • EnergyCalculations (1)
! • Electric Power & Lightlng Fortn (1) " 1.
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1)
l • SoilsReport (7) L
• SAC determinatlon - call 651-602-1000 • SAC determination - call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodgiog facilities.
Contact Building Inspections for sample and if required when it s[ates "not always".
Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date s / 1~_ / O3 Construction Cost
SiteAddress 3 q2o ~keml• UniUSte #
Tenant Name M~Hhe.SS~'G,~9.14~o~e5a~e~~YeWek~bTuc. Former Tenant Name
Descriptiou of Work ~e_.n :~?oa
PropertyOwner ~~t~oa~c.~~~~QrpAe,••~~~e.~ L.~.-(~., Telephone#(1o17-)
Contractor `V \,P,_
Address o, v\_-PsravAo_ v~ c~rY l,J c~ 2a~c~
State YV-l Zip 'S2l~3ot~ Telephone # ( )
Arch/Engr Registration #
Address City
~r'u.
State Zip Telephone # ( . u
r
Licensed plumber installing new sewedwater service: Phone (i
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pemut, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
'DeAwl .~~e..1Dere2Y- ~
.4pplican's Printed Name ~ Applicant's Signature
OFFICE USE ONLY
Sub Types
~ 01 Foundarion 26 Public Facility ~ 30 Accessory Bldg.
~ 14 Aparhnents ~ 27 Commercial/Industrial -1 32 Ext Alt - Apts.
C 15 Lodging L7 28 Crreenhouse ? 34 Ext Alt - Comm.
: i 25 Miscellaneous C 29 Antennae L 35 Ext Alt - PF
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
~
Valuation 3 pOo Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain TIle Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By Building Inspector
-
Base Fee ~ 3 • 2S
Surcharge /•s6
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
MECFIANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 -f' `~;o -7SL
Please complete for: commcrcial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date Lv_
Site Addressz lq"r, Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
.
Contractor 1
StreetAddresss; ` O City rC,~n1
State Zip Telephone # (~`3 )
The Applicant is _ Owner 'A Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection during installationlremoval of tank
_ Process ipi
Nature of Work: ll r
Permit Fee $50.50 Mlnimum Fec (includes State Surcharge)
Contract Value x 1% .Pemut Fee
. If pemut fee is $1,000 or less, add $.50 $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Pemiit Fee ~ r~~
I $ •;I c TotalFee
JUN 1. 0 iCo?
I hereby apply for a Commercial Mechanical Pemut and acknowiedge thet the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a pernut, and work is not toIsfart without:a:pe[miS; tligSJhe work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Cppli 's Signature
9
Approved By: ~~~40 v~ , Inspector Da e.
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Faznily Dwellings
- Townhomes and Condos when permits are required for each unit
Date
Site Address Unit #
Property Ow¢er Telephone # ( )
ContracWr
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contracror Other
Add-on, modifcation or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
ather
State Surcharge $ 50
Total g
I hereby apply for a Residenfial Mechanical Pernut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlus is not a
permit, but only an application for a permit, and work is not to start without a permit; that ffie work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
t- o
COMMERCIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ~2~ '
Telephone # 651-675-5675 FAX # 651-675-5674
Foundation Onl New Buildin Interior im rovement
• SWctural Plans (2) sets . Architectural Plans (2) seCs . Architectural Plans (2) sets
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• Certifiqte of Survey (t) . Civil Plans (2) . Prqect Specs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (7)
• Prqec[ SpecS (1) + Code Analysis (1) " . Master Exit Plan (7)
• Spec. Insp. & Testing SchedWe " . Certificate of Survey (1) • Energy Calalations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " . Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established-ii applirable
y . ProjectSpecs (1)
y • EnergyCalculations (1) " 1
1 . Electric Power & Lighting Fartn (1) y
1 • Master Exit Plan (1) d
L • Emergency Response Site Plan (1)
1 • Soils Report (1) 1
• SAC detertninatlon - call 651-602-1000 . SAC detertnination - call 651-602-1000 SAC deterrninatlon - call 651-602-1000
Call MN Dept of Health at 65 L215-0700 for details regarding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required when it states "not always".
Permit for new 6uilding or additiou will not be processed without Emergency Response Site Plan.
Date A t~ ~ Construc(~Iion ost \ Site Address ~9Z~ ~`"`~~1t``OI' l a S, r UniUSte #
Tenant Name Farmer Tenant Name
Description of Work _bf_-VV-)_
Property Owner Telephone #~t
. C' C% C~~)cr
Contractor ~-2
f ~IV ( '
Address city 4v1
State Zip Telephone#(~p~~-) `a)C~o
Arch/Engr Registration#
Address C'ity VL ~
State Zip Telephone li
MAR 2 0 70~13 ~i I I
Licensed plumber installing new sewer/water service: Phone ~
I hereby apply for a Commercial Building Permit and acknowledge that the informat' rate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approv plan in the c e of work which requires a review and
approval of plans.
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
L' Ol Foundation 7 26 Public Facility C 30 Accessory Bldg.
F. 14 Aparhnents ? 27 Commercial/Industrial ? 32 Ext Alt - Apts.
C 15 Lodging Ll 28 Greenhouse ? 34 Ext Alt - Comm.
C 25 Miscellaneous F- 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Afteration ? 37 Demolish (Bldg)* ? 43 Reroof p 46 Windows/Doors
? 34 ReplaCement `Demolition (Entire Bidg only) - Give PCA handout to appliwnt
Valuation Occupancy ~ MC/ES System
Census Code Zoning City W ater
SAC Units ~ Stories Booster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg) maUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Piumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. J Air Test _ Final _ Windows (new/replacement)
Insulation Retaining Wall
Approved By~~~, Building Inspector
- - - - - - - - - - - - - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
OS l f`..~C-C)
COMMERCIAL
2002 BUILDING PERMIT APPLICATION =e~ -:s - A~---C) a
CITY OF EAGAN ~
l ~
ro D 651-681-4675 9
~
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2) seLS • Archilectural Plans (2) sets • Architectural Plans (2) sets
. Civil Plans (2) . Struclural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• CodeAnalysis (1)" . LandscapingPlans (2) • KeyPlan (1)
• ProjectSpecs (1) • CodeMalysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testlng Schedule . Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be established • Meter size mus[ be established • Meter size must be established - if applicable
• ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1)
1 • Master Ecit Plan (1) b
1 • Fire Protection Plan (1)" 1
1 • Sails Report (1) 1
. MGES SAC determina6on letter • MClES SAC determination letter • MClES SAC determination letter
call 651-602-1000 call 651-602-1000 call 651-602-1000
Contact Building Inspections for sample
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for deiails.
DATE: 0212812002 WORK TYPE: NEW JREMODEL CONSTRUCTION COST: 536$4J9 APPE
SITE ADDRESS: 3920 SIBLEY IMEMORIAL HWY. EAGAPl. MN.
es,en w,4.
TENANT NAME: LIFE - SPAN SUITE PUA
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK INTERIOR IMPROVMENT: REMdVAL OF WALL TO ENLARGE PRE-SCHOOL
onnzz
WAYZATA BAY CENTER, LLC
Name: C/O UPPER MIDWEST MANAGEMENT Phone 763 ) 1 535-4914
PROPERTY Last First
OWNER
StreetAddress: 4900 HYVY 769 N. #100
City: NEW HOPE State: MN. ZiP: 55428
Company: J. DEXTER DRYWALL Phone 952 1 1 895-9957
~
~ CONTRACTOR
StreetAddress: 12842 NICOLLET AVE. # 101
I City: BURN3VILLE State: MN. Zip: 55337
i
ARCHITECT/
ENGINEER Company: J. DEXTER DRYWALL Phone (J 952 ) 270-2291
JOEL FREDERICKSON Registrati
Sheet Address: 731512TH AVE. SO. R 0 5 20102
City: RICHFIELD State: MN. Zip~23
By
Licensed plumber instaliing new sewerJwater service: Phone (
I here6y acknowledge that I have read this application, state that the information is -Co~rect, a a e to comply ith all applicable State of
Minnesota Statutes and City of Eagan Ordinances. . I
Signature of Applicant:~ ~ ` i.~//YGT~
J ----6'pdeted-„o2
OFFICE USE ONLY
SUBTYPE
? 01 Foundarion ? 26 Public Facility ? 30 Accessory Sldg.
? 14 Apamnents X 27 CommerciallIndustrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
g 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code -4A'L Zoning sq. ft.
SAC Code 30 # of Stories sq. ft.
No. of Units v Length sq. ft.
No. ofBldgs. F- Width sq. ft.
Const. (Actual) ~ n4 Basement sq. ft. MC/ES System ?
(Allowable) T[ S.J First Floor sq. ft. City Water ?
UBC Occupancy e - t sq. ft. Fire Sprinklered ~
MISCELLANEOUS INSPECTIONS
? Gas Service Test ? Heating ? Insulation Q Plumbing ? Stucco/Stone
APPROVALS
Planning Building (2gj~j~ Engineering Variance
&-4t'
VALUATION $ ~ OoOr-
Permit Fee
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Pertnit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
r ~ 1998 BUILDING PERMIT APPLICATION (COMME R v~
~ CITY OF EAGAN Y ~
~ 681-4675
5ubmit following to obtain necessa permit ~
Foundation Onl New Construction ' en
sWCtural plans (2 sets) erohkectural plans (2 sets) archfl I n (2 sets)
civil plans (2 sels) strudurel plana (2 seb) code enaty is (t) "
cotle anatysis (1) " civil plens (2 aets) projeG specs (t aet)
soils report (7) landscaping plans (2 sets) Key Plen
. project specs (1) code anaysis (1) " energy calculations (t) not eArays °
Special Inspections 8 Testing Schedule " aoils report (1) Eleelric Power & LlghGng Form (1) not ahvays "
SAC datertnination letter from MCANS - SAC detertnination letter from MGWS - SAC determination letter from MGWS -
ea11602•1000 ca11602-0000 ea11 602-7 00 0 ,
SpeGal lnspeetiona 8 Testing Schedule(1) "
ProleG specs (1)
energy celculatlons (t) " .
Electric Power & L' htin Fortn 7
" CoMact Building inspedions for sample
Food 8 Beverege or Lodging faeilities: Plan must be submitted to Minnesota DepaRment of Health. Call 215-0700 for details.
DATE: s- I25~1gJ WORK TYPE: _ NEW 41 REMODEL
DESCRIPTION OF WORK: oA6L- bt-' V\A4 k/Lj SJAc..,'-~ !!J crz> SC-4AL
CONSTRUCTIONC05T: C)D'o TENANTNAME: It3bEP6h0at3T 5c-t~~DsrK,LT-1gJ
SITE ADDRESS: SUITE
Li 1 n~ -611V i B/. y MFw+e+Bi AL HW7
LOT ~ BLOCK SUBD. S"~ I G P.I.D. #
Name: V PC,`?~-- 1~) l~0 ~~Sr 1~ In A U C~L'^~ Phone y`Z ILt
FROPERTY Last First
OWNER
Street Address:
city NC~-~ state: Vk~ zip: SSy 2~S
Company: Phone#: 54~k,' 7~ bI
CONTRACTOR
Street Address: I y3 -5 ~--Ct L'k License #
City State: kIk, w Zip: S 6g ~ b
ARCHITECT/
ENGINEER Company: ~n ) CL-. Phone 'Ji~- b9
Name: A`^'D E?-' S p n Registrarion
Street Address: 5-6
City ?~~LS 5tate: V14 L-l Zip: 5s~llo
Sewer 8 water licensed plumber (only if installing sewer & water): _
1 hereby acknowledge that I have read lhis applieation end state that the infortnati corred and ag t~y wRh ell applicable State oT
Minnesota Statutes and City of Eagan Ordinances.
~
Signature of Applicant:
1~m
OFFICE USE ONLY f1eB1Nfa P? 01 Foundation ~ 19 Comm./lnd. Misc. ? 21 Miscellaneous
? 18 Comm./Ind. ? 20 Public Facility
WORK TYPE 75"'A-pir- P' N' s tt
? 31 New ?33 Alterations br 35 Tenant Finish
? 32 Addition ? 34 Repair 0 37 Demolition
GENERAL INFORMATION
Const. (Actual) 2[ n Basement sq. ft. MC/WS System
(Allowable) , Tx i First Floor sq. ft. ror0oo City Water
UBC Occupancy E-! sq. ft. Fire Sprinklered vEs
Zoning s c- sq. ft. Census Code 3 z ce
# of Stories I sq. ft. SAC Code 3n
Length loo ' sq. ft. Census Bidg. e)
Depth i oo ' Footprint sq. ft. 10,000 - Census Unit _g
APPROVALS Planning Building ~4s Engineering Variance
Permit Fee i 3-7. zs Valuation: $ '-S So, ooo. -
Surcharge 1 -7 S-
Plan Review
MC/WS 5AC 3 000. ~ 3~r~o~o. -
City SAC ?x rvv , -
Water Conn.
ffiW Permit So.- w~TE~ ~y (Nv 60„Js2~
MW Surcharge . so
Treatment PL ~ 3 3 i 3 K vy~!
Park Ded. ~ as
Trails Ded. ~
Water Qual.
Other
Copies
Total:
% SAC
5AC Units 3
Meter Size
6125441826
.,MRY 20 '98 10:69RM WqTSON-FORSBERG C0. 612 544 1826 P.1i2
~ PE111Ml4NENT RECORD
7871 oan° pe° ym~ y ~ ~
p!FAX i•tt• Fax Note
~ w 3ERG a x PhOne R R q FBJtR
MINNEAPOL[9. MN 55416
m+owe (61 2) 5447761
cqX (8 I 21 544- I B 26
To: GREG KNUTSON - CITY OF EAGAN Date: O
TONY CUF2RELLA - GOMM UTIUN
Pages: 2 ages (including wver sheet)],
From: PAUL KOLIAS
Re: CEDARVALE SCHOOL - EAGAN
GREG,
PER YOUR REQUEST, PLEASE REVIEW THE FOLLOWING DESCRIPTIQN OF WORK FOR
THE ABOVE MENTIONED PROJEC7:
1. INSTALL NEW 4" DUCTILE fRON WATER MAIN APPROX. LOCATION SEE
ATTACFiED.
2. INSTALL WET TAP ON EXISTING DUCTILE IRON WATER MAIN PER CITY
REQUIREMENTS.
3. RESTORE ALL HARD SURFACE AREAS THAT ARE DISTURBED DUE TO WATER
MAIN WORK TO EXISTING OR BETTER CONDITION.
4. RESTORE ALL GREEN AREAS THAT ARE DISTURBED DUE TO WATER MAIN WORK
WITH EITHER SOD OR SEEDING.
5. TEST NEW WATER I.INE PER THE REQUIREMENTS.
IF MORE INFORMATION REGARDING THIS PROJECT IS NEEDED PLEASE 544-7761.
CALL WI QUESTIONS
THANK YOU
ORIGINAL qF 7NIS FAX WILL BE SENT BY MAIL: YES NQ
CEDARFAX.WPD
.
~ 6125441826
MAY 20 198 10:09AM WRTSON-FORSBERG C0. 612 544 1826 P.2i2
A.L
.ExIST1NG FIRE HYDRANT
EXISTING DUCTILE
IRON WA7ERMAIN
.
. .
NEw a" DUCTiLE lRON WATER LINF I • ~ .
~~~P~~~~ MPPFvXG6Q('ll,g' ~
rS~' e' d.;'a +
CEL1~?FtV~#LE
scHooL
10,000 SF WITH AN ;
.
~Q,~ . .r-' . . ,QP710N UP TO %
~
16.000 SF • , ,
Y ~
INN
_
w •
• ~ Metropolitan Council
Working for fhe Region, Planning for the Future
Environmentai Services
May 13, 1998
7oe Voels ' =BY:
Construction Analyst City of Eagan
3830 Pilot Knob Road Eagan, MN 55122
Dear Mr. Voels:
The Metropolitan Council Environmental Services Division has determined SAC for the
Cedarvale School to be located within the City of Eagan.
This project should be chazged 3 SAC Units, as deternuned below.
SAC Units
Charges:
Classroom
3500 sq. ft. @ 30 sq. ft./student @ 18 students/SAC Unit 6.48
Credits:... _
Retail
10300 sq. ft. @ 3000 sq. ft./SAC Unit 3.43
Net Chazge: 3.05 or 3
Ifyou have any questions, call me at 602-1113.
Sincerely,
Jodi L. Edwards
Staff Specialist
Municipal5ervices Section
JLE:(355)
98051358
cc:; S. Selby, MCES
Carolyn Krech, Finance Department, Eagan
Paul Anderson, Wirtanen Clark Larsen
230 East Fifth Street SL.Paul, Minnesota 55101-1633 (612) 222-8423 Fas 229-2183 TDD/TIY 229-3760
An Equul OppnrtuniLyEmpioyer
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TTRY:Di':e.hM~AaYnLYNT3I~T~If TON•C+T~f~P~. ~P~.ITw`++~%~i
' , ' , d '
< ~t PERMIT
--CIl'Y OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z LoIN a
~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 4 3 6
(612) 681-4675 Date Issued: 01( 2 7/ 9 7 ,
SITE ADDRESS:
3920 STBLEY MEMORIAL HWY
LOT: 51 BLOCK: 6
SEC7ION 19
P.I.N.: 10-01900-051-06
DESCRIPTION:
REMOVEJINSTALL WALLS
@u3ldiriJ':-Permit Type COMM./IND. MISC.
tBuilding 40.r-k Type ALTERATION
Census Code 437 ALT. NONRES.
~
~v
`;3~~~1
c..-.rREMARKS:
TENANT: HORIZONS COMMUNITY SUPPORT PROGRAM '
FEE SUMMARY:
VALUA7ION $5,000
Base Fee $99.75
Surcharge $2.50
Tptal Fee $102.25
COWRACTOR: - qpplicant - OWNER:
~JOHNSON CONST, HARLIE 24743098 WAY2ATA BAY CTR CO
634t HUMMINGBIRD RD P 0 BOX 834
,EXCELSIOR MN 55331 NEW ULM MN 55073-0834
(612) 474-3098
I hereby acknowiedge that I have read this applicatian and state that the
information is correct a-nd agree Ca comp]y with aik applicable State of Mn,
II~ Statutes and City of Eagan Ord'inances. '
APP ANT/PERMITEE SIGNATURE SSUED BY: SIGNATURE
~
CIIY OF EAGAN PERMIT
X 3830 Pilot Knob Road PERMIT TYPE: a u z Lo z rv s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 4 3 6
(612) 681-4675 Date Issued: 0 g /2 7/g 7 SITE ADDRESS:
3920 SZBLEY MEMORIAL HWY
LOT: 51 BLOCK: 6
SECTTON 19
P.I.N.: 10-01900-051-06
DESCRIPTION:
REMOVEJINSTALL WALLS
Ruilding<:Permit Type COMM./IND. MISC.
BulfcfingWb.x.k Type ALTERATION
Census God'e ~`~rv 437 ALT. NONRES.
,i
REMARKS:
TENANT: HORIZONS COMMUNITY SUPPORT PROGRAM FEE SUMMARY:
VALUATION $5,000
Base Fee $99.75
Surcharge $2.50
Total Fee $102.25
COPtTRACTOR: - ppplicant - OWNER:
~JOHNSON CONST, HARLIE 24743098 WAYZA7A BAY CTR CO
634t HUMMINGBIRD RD P 0 BOX 834
,EXCELSIOR MN 55331 NEW ULM MN 55073-0834
(612) 474-3098
I hereby aoknqwledge that I have read this application and state that the
in'Formation is correct and agree to compky with a1.1 applicdble State of Mn.
L Stabutes and City ofi Eagam Ord3nances,- '
. ~
W&4--APP ANT/P~~~ERMITEESIGNATUflE SSUEY:S RE
, , . . . '
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, SL`66 • i+iH•43i1 $I5 •fJ"BE:'`xoL'= maE,
' 173 ±6i403: N&,iVF10f '3ITiItM ' %Wiljl ,
' - • ' ' ' ' ~ ~ • .^~l
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'M,.:%•'FL:a:s%SA~:6,.7:'.s t~n.$ri"e$1k~g+Gf%C'i~51!'#'~I~z~K1hi'.
, ' . ' ~ ~ .
. . • ~ ~ • . . ,
.r• , • • . . • .
< < 1997 BUILDING PERMIT APPLICATION (COMMERCIAL)
C~19 CITY OF EAGAN ~D o~ • a S^
681-4675
The followinp are required with appropriate certficaUon for all = constniction:
• 2 each: architeUural pWna; mech. 8 elu. plans; fire spdNJaz plans; strudural plans: sMe plens: landscaping Piana; 9radfng/drainageJerosion control plan;
utility plan
• 7 each: set M specfieetions; set ot energy eelculations; ebctrkml power d liphting torm; Special Inspections 6 Testlng Seheduie
• Lerier from MCANS (phone lt222-8423) indicatinp SAC Eatertnination
+ Code analysis indicatinp: Codes used; oaupancy dassificationa; setbacks; meuimum allowable aree as per Bulding end City Codes along with aq.
ft. per floor, type of construction (synopsin of construcfion wmparrents) 8 any aaupancy or area separation walls;
occupenq bads; exk synopsis with a dieprem indicadnp oxiting bads from eaeh room w area, Vavel paths & all rsted
cortidors; plumbinp flztures; and parking.
DATE: f--:12 7 WORK TYPE: _ NErv L/ REMODEL
DESCRIPTION OF WORK: r- 1Ao L E i u~• J. PA R7iaAV LvAL1- 4 JNST,e11. • i,vA 1< 5
CONSTRUCTIONCOST: TENANTNAME: /U6R%~~N' /'nr.1cnnu.HilY ~S'u,vPaRf• DRNc
SITE ADDRESS: 3477 .S i h L P Y Mc 14,6R !Al N Y
mm~ m~
LOT CAt BLOCK l, SUBD. ~24 P.I.D. #
PROPERTY Name: i,Uf1;;,'aA&A);'j Phone
OWNER J
Street Address: -p P,
City: 71.1_ '1C State: rrr_ Zip: Cri'
coNTrtaC7oR Company: a R L f 1-7,~ o h k-Ca N 0, o Y,v s`r Phone J/ 7'/ 3° y~
,
Street Address:634 o~"~ u~n M S ni G 6 i 2d- k d
City:'t~,Akp- p L s_; 2My"i. Zip: Sd"33 i
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (only 'rf installing sewer & water):
I hereby acknowledge that I have read this application and state that the information is correct and agree to compty with atl
applicable State of Minnesota Statutes and City of'Eagan Ordinances.
RECEIVED Signature of Appiicant
JAN 2 11997
BY: /46
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation Comm.flnd. Misc. 0 21 Miscellaneous
0 18 Comm./Ind. n 20 Public Facility
WORK TYPE
? 31 New ;e33 Alterations n 35 Tenant Finish
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code y 3 7
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg. ~
Depth Footprint sq. ft. Census Unit ~
APPROVALS
Planning Building Engineering Variance
PermR Fee . • Vaiuation: $ 5.
Surcharge ' i',< •
Plan Review
MCNVS SAC
City SAC
Water Conn.
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Water Qual.
_Other
Copies
Total:
°h SAC
SAC Units
Meter Size
1988 BUILDZNG PERNIIT.P.PELXATION - CITY OF EAGAN
13r9o
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIAED. NO CHANGES WILL HE ALLOWED ONCE HIIILDING PERMZT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS EOR SALE UIJITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS
CONAfERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date:
Site Address ,~qicf S i~l OFFICE USE ONLY
Lot 051 Block ~D On site sewage_ Occupaney Z
S MWCC system Zoning
Parcel/Sub On site well Actual Const
IAipPER MiDu1gT/hAN/48$AE-AT GLV City water ~ Allowable
Owner (*p(±99: _ PRV required _ lk of stories
Booster Pump _ Length
Address Depth
NEW W.M S.F. Total
City/Zip Code ,SC_o7 2~ Footprint S.F.
Phone 1-6p7_ 2gq-.Doc~,t{ APPROVALS FEES
Contractor Engr/Assess Permit
~ Planner Surcharge ~,SD
Address Council Plan Review 2 , o0
Bldg. Off. ~1(4-SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
L b
City/2ip Code TOTAL
Phone #
I
1988 BUILDING ~ERMIT APPLICATION - CITY OF EAG6N
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIORS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE IINITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUAAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY C9LCULATIONS
~.r,~anua,~, jft'9 'A6n -
To Be Used For: SQr 'w'ft Valuation: 5"~=9O Date:
Site Address 3L OFFICE USE ONLY
Lot Bloek On site sewage_ Occupancy 3-Z-
MWCC system Zoning
Pareel/Sub 0 I a'~ f~ s On site well _ Actual Const
City water Allowable
Owner PRV required _ Il of stories
Hooster Pump _ Length
Address Depth
S.F. Total Q3~
City/Zip Code 8e.?"n.( ?itfmg, AN-e/ Foolsprint S.F.
S
Phone APPROVALS FEES
Contraetor Engr/Assess Permit o0
Planner Surcharge " 5b
Address Couneil Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone y v' Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
.1.~' _ ~ - r,r ,rrr rr, r,r ,r~y+ r r rr, r r,r ,rr rr.qg
m
4 p IV N N y N N f J N N J L lNl~ N N N•r p~ r r~ r ~ ~ fyi r N 1V ~ O 41 N
Tailor
L 104
4703 D
~f = y L-22fi
° uy ~ = r
~m o 9 4~05 r ~ u.s. Swim
~ R Fitness
r
Im T m Travel L906 m 4225
O ~
<
I wm I~
im
r L-1a7 ~z
~
O
STORAGE U.S. SWIM L-224
4725 S.F. 6 FITNESS
L-Y23
E"A-. L222 L2 02 Burton'S Freme
4221 L-203 Exlra Special
1 l ~ ~ 4220 ~ 0. L-204 Trail T.V. 8
H
Minneapolis . adio Shack
COntaCt LBns L219 l05
f 4218 ~ ? . 4206
; ~
~ ~ Crealive Hand 4217 ~ g American
-image
Salon
,
~ ~~.y , ~ , ; ~ ? ~
Feshion ~-208 Malimark Cleaners
1-216
Footwear L•208A Barber Sho
D
i ~ 42t5 .0 ' 4209 Nedved floral
~
Mike
pal L-214 , ? , L~0 SewaldJewelers
ShceRe
r . ~ _ - - 4
; a.
~ ot~gpe
rege o X o .
I I Sto
I ~ ?
i t.,~'. tjQc~ ~C7
I I' I o 1-273A ~ L-211A
~ i~~
I.il1;1, :
L-213B
0• SnyderDrug
L-213C • ~ •
, ' [ I
Nardware Store , ? .
L-211B
~ ! ' ~ I! L-272
ar ~ ~ {-J~. \ 1
\
a' .•y~.. ~ i ~i ~ ~ ` r-__-~~
r" K{aj ~ , L . J (
EI' OP61 ;n4 7o Slore:
o,( S~-tr-GS
L O~f g ~ CITY USE ONLY
RECEIPT#: G GG
SUBD. / RECEIPT DATE:
APPROVED BY:, INSPECTOR MECHANICAL PERMIT
1999 MEcHAvlC,al. PEftMrr (COMMEttCIAL)
CITY OF £AfiAN
8$30 PILOT KNOB iiD
£AfiAN, biN 551 E8
(651) 6$1-4675
Please complete for: all commercialfindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: ~ 1~2 CONTRACT PRICE:
WORK TYPE: New consizuction Install U.G. Tank
Interior Improvement _ Remove U.G. Tank (Minimum Fee)
~'-S-_
_ Processed Piping (Minimum Fee)
*'NOTE: When installing/removing underground tank, ca11651-681-4675 for inspecrion by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK: -f- ~ S'r-AqL
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
{ r
CONTRACTPRICEx 1% c) c)
PERMIT FEE
STATE SURCHARGE ~ ($.50 per $1,000 of p=JI fee due on all pemuts.)
TOTAL
- -
p~ + ~J7' OS1
SITE ADDRESS: ~ ~"l~ f i~(.~`'1 if~~N • E-K ~A-1.1 'f~LX'rC /o ~EtXiv~
OWNERNAME:U ~kt'Ik .I~kM ,0 PHONE#: 4_i1r-di4
(YE) }
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER: Jt~-t-1,a- , I5 i~C~. tX( G
ADDRESS: ('3~~ A'^r' t't 2t.~_ tAi PHONE -q q,- 3~7~ I
(AREA CODE)
CI'TY: n... Zt rv STA ~ ZIF: ~~(U
~
GNA P RMITTEE
U `
CITY USE ONLY ' -
LOT BL RECEIPT
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 MEcHANICAL PEftMrr (REsIDENr[AL)
cmt oF Ensnx
3830 Pu.oT tuvos Rn
EAfiAN bfN 55122
(651)681-4675
Date•
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
constru:tion and not owner /occunied.
• HVAC: 0-100 M B T U $ 30.00
ADDIT'IONAL 50 M BN 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this secrion onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11681-4675 for inspectiaru.
_ Fumace _ Air conditioning
_ Air exchanger Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
INSTALLER NAME: PHONE
(AREA CODE) STREET ADDRESS:
CITY: STATE: ZIP:
SIGNATURE OF PERMITI'EE
L L CITY USE ONLY
(ll RECEIPT
SUBD. RECEIPT DATE:
APPROVED BY: INSPECTOR MECHANICAL PERMIT I?
1999 bIECHANICAL PERMIT (COMM£{tCIAL)
C1TY dF £A6AN
S$SO PILOT KNOB gD
EA6AN,INN 551 EE
(651) 681-4675 •
Please complete for: ali commercial/industrial buildings
multi-family buildings when separate permits are, not rgquired for each dweiling unit
DATE: CONTRACT PRICE: •`~J
WORK Tl'PE: New construction Install U.G. Tank
~ Interior Improvement _ Remove U.G. Tank (Minunum Fee)
_ Processed Piping (Minimum Fee)
•'NOTE: When installing/removing underground tank, ca11651-681-4675 for inspection by fire marshal
and plumbing inspector.
DESCRIPTION OF WORK: r~6~L6fe%c /P )"Tv °Y ~ 1=1' ~ r~?P l~ I r r6r ~iEti?
FEES: 1% of contract price R $30.00 minimum fee, whichever is greate(t-^"wo
CONTRACTPRICE x 1% ~ cc-S5 ,C~ C)
PERMIT FEE
STAT'E SURCHARGE ($50 per $1,000 of e't fee due on all pecmits.)
TOTAL
-
SITEADDRESS:
OWNER NAME. J4Z-~A (3fs„ C~l1 PHONE #:(UO(~/
(AREA CODE)
TENANT NAME ( ROVEMENTS ONLYI: U,rLI~-e*~.~7 5L- A`vr.L
INSTALLER: Ca t-L-f' ( l t u C-~~w/
a,DDxESS:~~537 7)r-t,J3r- ua--Cj (1/Ake PxorrEa: ,51
^ AREA CODE) r
CITY: T' iTATE: Cq/(J ZIP:~~_v~
SIGNA OF P RMITTEE
CITY USE ONLY , •
LOT BL RECEIPT
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 M£CfiANICAL PEiMTf (MIUENTIRI.)
crrYoF easM
3830 Pu.oz Kxos ftn
sas,ax Mx ssi Ex
(651) 6$1,4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U $ 30.00
ADDTTIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodeling, adding to, or repairing an exisring single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11681-4675forinspections.
_ Fumace _ Air conditioning
_ Air exchanger Other
$ 30.00
State Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
INSTALLER NAME: PHONE
(AREA CODE)
STREET ADDRESS:
CI'fY: STATE: ZIP:
SIGNATURE OF PERMITTEE
,
L CITYUSEONLY RECEIPT#: '7c?~b 7
SUBD. RECEIPT DATE: 5
APPROVED BY: ,INSPECTOR
1996 MECHRNICAL PERMIT (COMM£RCIAL)
CI1'Y OF EE1fiAN
3$30 P[LOT KNOB RD
E4fiRN, MN 55122
(618) 6$1-4675
Please compiete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
G
DATE: 4L~3 CONTRACT PRICE: /Z~7,
WORK TYPE: _ NEW CONSTRUCTION ~ INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: ~ Lc7 °L' ~l-P'~ ln .121,C t i Z l~~ f rUSj!~, Z5s
..vv ~21G
`~`~21J D ~ ~t~
'
FEES: 1% of contract price OR $25.00 minimum fee, whic ver is grea e.
Processed piping - $25.00 L/-4-7J
CONTRACT PRICE x 1% ( Or OC?
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of netmit fee due on all permits.)
TOTAL 16( ~ +~U
~
' ' 'T'
SITE ADDRESS: OVT if ' -
O WNER NAME: 40n4,1,/ PHONE Y~
- ~
TENANT NAME (1MPROVEMENTS ONLY):
INSTALLER:~u -Nl-~/ ~ ~l9''
ADDRE3S: Lj52j7)/4'Y-Jf~l 1Q;r l t/~'Gf PHONE
ST
CI a
ATE: ZIP: NA RMITTEE
I _
CITY USE ONLY LOT BL RECEIPT
SUBD. RECEIP"I' DATE:
1996 M£CHA1VICAL PERMIT (RESID£MflAla
CITY OF EAi6AN
8$30 PILOT KNO$ RD
F-RfiAN MN 55122
(61E) 6$1-4675
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if you ate remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
' existing residential units; but is required for the following:
_ Install furnace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME: PHONE
STREET ADDRESS:
CITY: STATE: ZIP:
SIGNATURE OF PERMITIEE
1S/FORMS BLD/MBCH PERMIT (RES) - 1998
? .
CITY USE ONLY
L ~ BL L? RECEIPT ~
SUBD. ll~~. 19 DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease compiete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dweliing unit.
DATE: CONTRACT PRICE: 4(2, WORK NPE: _ NEW CONSTRUCTION ~INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: ,c1p0
FEES: , $25.00 minimum fee Qt 1°h of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of permit fee due on all permits.
0
CONTRACT PRICE x 1%
PROCESSED PIPING '
STATE SURCHARGE
TOTAL
SITE ADDRESS: ~3 910 1~- (4,
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: ~Ij
r~
CITY: STATE: ZIP:s < 3
PHONE
SIGNATURE:
SIGNAlkl E F MITTEE CITY INSPECTOR
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
. Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodei (existing residence only) $20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( )
~ ~ .
. y..uz.n":....:.:.::3,...:.n, m~.. b.a '..vu
, .».x:..w:.t•..;,mm:a~. , ~ ~Mty:ey~4::-: :'.aga~" .~ytim.?
~;.;:;:K,.,.,;:~::.,:~:.~,.:<>:r;.,..~~aB:~:;.a,,~"<;:::^'•:::r~"~...~'°.~..„.~~g~:.~~.~..~ ~:g~;:,:<.,e ~rb:~~'~re.~°. ~.~<;,,.€~b~~,~:>~ .;3....r,.
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL CONff41ERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRACT PRICE: 3, O U O, OO
NEW BUII.DING
~ INTERIOR IMPROVEMENT
WORK DESCRIPTION: 9~>LTC-nl5 I O-j
FEES
1% OF FEE $ , v D
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
3 9/o s:A- rkt...
SITE ADDRESS: -D /1,<,
OWNER NAME: W 6C-N76-y2-- TELEPHONE
TENANT NAME: (IMPROVE~ao ~ l~() Y7~ SI, ~Po<2S 2O GD?A~
INSTALLER: 62(.cT/,(' C~ ~
ADDRESS: (,Jd'L/
7
CITY: STATE: ZIP CODE:
TELEPHONE
Aat`-~,
SI ATURE OF PERMI E ~ CTI'Y INSPE R
~1,5 ~
a>:~~.;...,~o-Yas:... . :•;SO3M-:p
~.r,. .
^~^rac
.A»
1994 MECHANICAL PERNIIT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
Ee1GAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE _ .5 -I ~ ~ qL1
FEES
HVAC: 0-100 M BTU $ 24,00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACI-)
ADD-ON/REMODEL (ExisrnvG CoxsTRUCTION) $ 20.00
STA'I'E SURCHARGE ,qp
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
ADDRESS:
CIT'Y: STATE: ZIP CODE:
TELEPHONE '
SIGNATURE OF PERMITTEE
1 Y
~~T~}$ f~~. ih3c `~~s<~~e"~&` 3~Aw'~ G~y Ftk<taaZ'= ka^.3 x-f~H ~ <5ai~k '`Y;~y' ~ bCStb3<~'~..
...n.R . i~ . n n. . > . .~n..
1994 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD _
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICE: $
NEW BUILDING
Dc INTERIOR IMPROVEMENT
WORK DESCRIPTION: leui? So t / SC 6~q 5; ~Piwo- AN) f45-
% P~ P,n, 6- ~.-.i ~~x D2yL~2- ~<300 o e~ 0 8 T~~
FEES
Im_
n
va ~..xti.tA~F?3..~ a'L'r e~+~~cwrw~n r~+ rr+-;L. o
iu ~y
F..t~..kia:>[r:.e:.........:o::.e>.
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
srrE a,DDxESS: 3 99 S' S13L6-/ /j9em /-1 Gr/iv y
OwC~T MR n1'~F~m.wq~
OWNER NAME: TELEPHONE
8'8-9/37
TENANT NAME: (IMPROVEMENTS oNLY) 5~/P6Y1in LiniE DCS,~&N ( i3iLL A&ocM cinJ~
INSTALLER: /#/x47 'n
ADDRESS: Ao-"~ s T A/~
CITY: G6 6rt STATE: AV A? ZIP CODE:
TELEPHONE
SI ATURE OF RMITTEE CTI'Y INSPECfO
~iia~9)?~i~ e a~~~j£g ~s'#EQn"£L. 3r Fo- Si a z£ ~Y''9tj ~1 s~~'e&^3E3T'< :E y ~y~f~y.e,
1994 MECHANICAL PERMTT (RESIDEIVITAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE IN3ERT
DATE
FEES
HVAC: 0-100 M BTU $ 24,00
ADDITIONAL 50 M BTU 6,00
rAC$ QT_J'!'T FIc ;ryr„q,mr,Pv; I@ S3.00 EaC:-1j
ADD-ON/REMODEL (ExisTnvG CoNSTRUCI'ION) $ 20.00
STATE SURCHARGE .50
TOTAL
SI'TE ADDRESS:
OWNER NAME: TELEPHONE
INSTALLER:
ADDRESS:
CITI'. STATE: ZIP CODE:
TRT.F.PHONE
SIGNATURE OF PERMITTEE
D5I CITY USE ONLY
L BL LQ RECEIPT ~~o~~SS
SUBD. ,6M-&07(, 19 RECEIPTDATE: `J~as//cb
i
1998 PLUAffiING PERMIT (COI-MRCIAL)
CITY OE EAGAN
3830 PILOT KNOB RD
EAGAN, DII1 55122
(612) 661-4675
Please complete for. all commerciaVindustrial buildings
multi-family buildings when separate building permiu are not required for each dwelling unit
backflow preventer to be installed in commercial areas or residential boulevazds
Date: Work Type: New Bldg. _ Add-on Repa'v _ U.G. Sprinkler
Is Water Meter Required? Yes No Water Flow GPM
Ta inquire if Pressure Reduciog Valve is required on new service, call 681-4646.
FEES
1% of wntract price or $25.00 mitiimum Contract Price: $ 20. x 1% _ $.2(0~ - OD
COMPLETE THISAREA IFINSTALLING UNDERGROUND SPRIN%LER SYSTEM
Service: _ Existing (if coming off domestic line) OR _ New
Backflower Preventer Permit Fee $ 25.00
Water Meter 1" @ $185.00 or 2" Turbo @$846.00 $
]f "new service" add Water Permit $ 50.00 = $
WAC $ 780.00 = $
Water Treatrnent $ 420.00 = $
City Installed Tap $ 300.00 = $
PermitFee $ 0 0
State surcharge is $.50 per $1,000 of ep rmrt fee or minimum of $.50 per permit Stste Surcharge $ , s a
Total Fee $ 2W $ ~
I hereby aclmowledge that ] have read this application, state that the inforcnation is correct, and agree to comply with all applicable Ciry
of Eagan ordinances. It is the applicant's responsibility w notify the property owner that the Ciry of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under tLis permit within
City property/right-of-way/easement.
sITE ,wDREss: 3q 1 6' 1916(A~j ftMo201- ffi&b~,Jft
TENANTNAME: QF71t&Vp"1fG
INSTALLER NAME: PW m(b{~N(T TELEPHONE: 'I SZ" CS-65
STREET ADDRESS: I"6 S~ ~u ?T/t~il)h~W~. f~U ~
cTTY: EA&rzLj STATE: zIP: SSI L Z
6A /&6~
SIGNATURE OF PERMITTEE
CITY USE ONLY ~ . ~
COMMERCIAL PLUMBING PERMIT -1998 METER SIZE PRV Yes No
Domestic
Irrigation
UTILITY CONNECTION (APPLIES TO NEW SERVICE ONLY)
$
REVIEWED BY:
~L4""~~o~
Building Inspector Date
To determine meter size
' See if it is indicated on back of Building Inspections card
• Enter address in PIMS Screen 301 to obtain S&W permit #
• Check PIMS Screens 110 (Remarks)
' If gallons per minute are less than 25, a I" meter will be required. If gallons per minute are more than 25, a 2" turbo with sffainer
will be required. This information is to be supplied by the designer of the sysrem. Consult with Plumbing Inspector if Licensed
Plumber does not know GPMs.
Before selline meter
' Check PIMS Screen 320 for aoproval of inspection resulu. No meter will be sold before all sewer and water inspections aze complete
on a new service. If new service lines aze not requ'ued, one check may be written for meter and permit costs. Write meter type and
size on receipt, code to 3716-9220 (meter portion only), and fonvard copy to Utility Billing Clerk.
* EMer meter size, type, receipt date 8c amount paid on PIMS Screen 110. Copy of receipt shwld be given to Utiliry Billing Clerk.
Miscellaoeous Information
' The installer is to contact Building Inspections at 6814675 for inspection of the inside water line and backflow preventer. The Central
Maintenance Division may be reached at 681-4300 for water turn-on.
* If ineter is over 5/8", notify Central Maintenance so they can tell you if there is one in stock before plumber goes over there.
JS/Forms.bld/plbg permit (comm) 1997
/ OFFICE USE ONLY
/ • L RECEIPT
V
SUBD. DATE• ///2 9 1?'
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -46T5
Please wmplete for. . all commerciaUndustrial buildings.
~ muRi-family buildings when separate permits are aM required for each dweiling
unit.
ev
DATE: CONTRACT PRICE: 01.92M
WORKTYPE: _ NEWCONSTRUCTION _ I AD~D~OaN REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES V NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? ~2 YES 2 NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER IS5UANCE.
WILL YOU 8E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. Sfate surcharge of $.50 per
$1,000 of pen33jt fee due on aIi permits.
CONTRACT PRICE x 1%
STATE SURCHARGE ; S D
TOTAL
SITE ADDRESS: 250) 10 TENANT NAME: 01wiYlV.) (zO STE. #
OWNER NAME:
INSTALLER: A''~ / ~ 1~~-1-~ •
ADDRESS: UO [ G c. ~-F 1-k IZ d
CITY: STATE: ZIP:
PHONE l - SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
//-~?c, 9S 4
Lf G 54~~ ~/7
CITY USE ONLY
L BL RECEIPT - SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwetlings
? townhomes and condos when permits are required for each unit
FIXTURES EACtj TOTAL
Shower 3.00 x =
Water Ctoset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cry. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations • to exisUng 20.00 =
Water Turn Around 20.00
STATE SURCHARGE ~ .50
TOTAL
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( )
.
V
L BL C /D CITY USE ONLY RECEIPT#: 47157,
SUBD. ~ I. ~7 DATE: v S
7995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 687-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits art 1~j required
for each dwelling unit. 5r,
DATE: CONTRACT PRICE: ~ 6 a 0 D-
WORK TYPE: ~ NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK: --LJSZ-Aza.PzTlocJ f-J~?>D- cf~(' 22SThmorjt
/ Li 7'tF)-j Awr SPAC-c-
FEE: $25.00 minimum fee or 1°/a of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of Rgpd fee due on all permits.
CONTRACT PRICE x 1% COo7 ~
STATE SURCHARGE
~
TOTAL (P c~
SITE ADDRESS: C~ 91"71d2 61p-V ~~erta/ CVw N .
TENANT NAME: e ro p~ STE. #
OWNER NAME: U~PEh MI r7 wGS~
INSTALLER: d26K~ ~i- 6 •
ADDRESS: L SD karU v
CITY: ~Ak, A,-J STATE: P/1iU ZIP:-2D2-2-
PHONE y,5 L/- 66 4L;
c
SIGNATURE:_~~,.~-
APPLICANT CITY OF EAGAN
cirr use oNLv L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675 ,
Please complete for: ~ single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler ' home underwnst. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: STATE: ZIP:
PHONE ( )
~
r1od,
1994 PLUMBING PERMIT (CONII1iERCIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN SS122
(612) 681-4675
PLEASE COMPLETE FOR ALL CObiMERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTf.
~ NEW CONSTRUCI'ION
ADD ON
REPAIR
woxx nESCxIPriox: ~vk,(~~
CONTRACP PRICE: a
FEE 1% OF CONTRACC FEE
Sl'ATE SURCHARGE $.50 FOR FACH $1,000 OF FEE.
MIIVIMUM FEE: $ 25.00
U
11 CONTRACT PRICE % 1% $ ol
~
STATESURCHARGE $ SO
TOTAL S
35ato
srrE nnnxESS: 3-t-~ lali-. eCA" /111A
TEIYANT NAME: & JJA-~ /S°PE #
OWNER NAME: U All.(ti .~I ~INSTALLER• lJ4 e,t,
v 0/
nnnxEss:
CITY: STATE: ~I N ZIP CODE
PHONE
FOR•
~ CITY OF EA AN "WCAIIT"
W
1994 PLUMBING PIItMIT (RESIDEIVTUL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UMT.
NO. FUCCURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3,00
KITCI-EN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER I-iEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • m~imum _ i 3.00
ROUGH OPEMNGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nLay. u~ 20,00
U.G. SPRINIQ.ER •nomeunda mnu. 3.00
ALTERATIONS • w m~8 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
STTE ADDRFSS:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE ( )
SIGNATURE OF PERMITTEE
?
~L ~'L . ~
« e 'e~ i n T
~ j
1994 PLUMBING PERMIT (COMMERCIAL)
CI1Y OF EAGAN
3830 PII.OT KNOB RD
EAGAN NIIY 5512E
(612) 681-4675
PLEASE COMPLETE FOR ALL COMbIERCIAUIIVDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMII,Y BUILDINGS WEEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
NEW CONSTRUCI'fON
~ ADD ON
REPAIR
WORK DESCRIPTION: ,Tl7! S 7f11 L +5 ! _F , UEn~ ~ /ff'/~ G(i
3,Q7tt4?oovn G,eojes L4vND[2S' fiF
CONTRACT PRICE: 5~ D O6
FEE: 1% OF CON1'RACf FEE
STATE SURCHARGE 5.50 FOR EACH $1,000 OF MM FEE
MINIMUM FEE $ 25.00
CONTRACP PRICE R 1%
STATE SURCHARGE $
ToTni. $ /!~-D s o
SITE ADDRESS: 3 9P0 S'/d5ZEY ME.;r c,e 1i1L
TENANT NAME: STE #
OWNER NAME: 61 l~Yl pr L'
INS'rALLER• Pl-um~elt/U / /V(!-
nnDxESS: 0'o,oga x ~l7 3s'l
CITy; 6pl- YVYI o uS -o SI'ATE: !Yl N ZIP CODE ,:~s~`/
paorrE
FOR: J~n
CITY OF EAGAN APPLI
1994 PLUMBIIVG PERMIT (RESIDENI7AL)
CITY OF EAGAN
3830 PIIAT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
PLO-- FIXT'ITRES EACH ~'OTAL
SHOWER 3.00
WATER CLOSEI' 3,00
BATH TUB 3.00
LAVATORY 3,00
KITCfEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3,00
WATER HEATER 3.00
FLOOR DRAIN 3,00
GAS PIPING OiTTLET •miwmum _ i 3.00
ROUGH OPENIIVGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • naLay. u~ 20,00
U.G. SPRIINIQ.ER • mme a.&r om,. 3.00
ALTERAITONS • m m.uo8 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE ,Sp
TOTAL:
SITE ADDRESS:
OWNER NAAE:
INSTALLER:
ADDRESS:
CTTY: STATE: ZIP CODE:
PHOIVE ( )
SIGNATURE OF PERMITTEE
• Q ` ''s5+ ~ i'J'"11Fi~,b„y...~g 4q~„~' ~ ~ '4' j~3 '~3. s S`%>a xg;~4~2,, ~~ga'epya 'Y `%,~yy'h¢~,~i~3y. °C¢Y'
1994 PLUMBING PERMIT (COMMERCIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIIIERCIAUINDUSTRIAL BUII.DINGS. ALSO FOR MULT!-
FAMII,Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING UNTT.
IVER' CONSfRUCl70iV
~ ADD ON
REPAIIt ~
woitx nESCjeEPTIox: "ot4i? /3.~ ~ ~ ~vc? ~S ~3P~~?~
~
CONTRACf PRICE: $ II DO ~
FEE 196 OF CONTRACI' FEE.
STATE SURCHARGE 5.50 FOR EACH $1,000 OF ~ FEF
MPNIMIIM FEE- $ 35•00
CoNTR,Cr pRICE x 1% $ as~
~
STATESURCHARGE $ `
TOTAL $ -
srrE nnnxESS: 3 9 E~ ~ S~B L~o
«K~c 01. N
TENANT NAME: 5rn~1+-n, 4i..E ['7 csi 4.? STE #
OWNER NAME:
INSTALLER: IyI//lE ~725 on/ ~~usJ'!.(~//VG+ADDRESS: ~~~6o 8,,~~K~- ST /?k/
CITY: ~O sa ~ STATE: /n A.1 ZIP CODE:
rHOrrE
G /D-3
FOR: J-A
CITY OF EAGAN APP CANT
O
~~i111 ~«~-~~$,s:'~'Yf ~ ~ E° ~*°f?"'s$ffiL~~ '~.°'`~'M~j., k a ~ ~
~ ~-Egz.~'x r ~c~{~ ~ a~~a~ ~ "~',•~~%-^£'~,r? g~€^~, v ,a~
1994 PLUMBING PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOIvIES AND
CONDOS WI-IEN PERMTTS ARE REQUIRED FOR EACH UNTT.
FIX7'URES -FACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3,00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3,00
WATER HEATER 3.00
' FLOOR DRAIN 3,00
GAS PIPING OiTTLET • mm;mum - 1 3.00
ROUGH OPENIIJGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Datay. nc. 20.00
U.G. SPRINIQ,ER • nome wnav coo.L 3.00
ALTERATIONS • w ~uo8 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
STI'E ADDRFSS:
OWNER NAME:
INSTALLER:
ADDRFSS:
CITl'. STATE: ZIP CODE:
PHONE ( )
SIGNATURE OF PERMTI'TEE
. . . .
~ . ~ .
~ <n
s .
~ -`u a..~~~ ka(
PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIALJINDUSTRIAL BUII.DINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
_ NER' CONSTRUCl'ION
ADD ON
~ REPAIR
WORK DESCRIPITON:
CONTRACT PRICE: $ B 0. 4 O
FEE: 1% OF CONTRACT FEE.
STATE SURCAARGE: $.50 FOR EACH 1000 O.
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1°do
STATE SURCHARGE $ 7~- 5C)
TOTAL a~ 5v
srrE nnnREss:
'!'ENANT NAME: STE. #
OWNER NAME:
"sNSTALLER:
AADRESS: 7 7.31
- ~
CITY: STATE: ZIP CODE: S~` a3
PHONE
C1TY OF EAGAN APPLICANT
k 7A.,
ffli~
AMAN
PLUMING PERMrr (RESEDENTIAL)
CITY OF EAGAN
3830 PIL.OT KNOB RD
EAGAN MN 55122
(612) 681467S
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHONIES AND
CONDOS WFMN PERMITS ARE REQUIRED FOR EACH UNrr.
-
NO. FDCIIJRES EACH TOTAL
SHOWER 3.00
WATEP, CI.O.qPT i.()o
BATE TUB 3.00
LAVATORY 3.00
KrrCHEN SINK 3.00
I-AUNDRYTRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET - minimian - 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. - DaLCty. lic. 15.00
U.G. SPRINKLER -home tinder CMSL 3.00
ALTERATIONS -to existing 15.00
WATER TLJRN AROUND 15.00
STATE SLJRCHARGE .50
TOTAL:
SrM ADDRESS:
O-WNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
SIGNATURE OF PERM=E
. . •
3~ Y F~~ ~ Y ~,~s .3 r r>e 3:
` ~i ~ i c~. e¢ t:,~ a zr ~'~`gp~'i rYF3~`~~~f,~' a ~ ..^r, g sst; 3.F.ef r ia•ex;
1993 PLUMBING PIItMIT (CONIMIIiCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONSIERCIAUINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UY:T.
NEW CONST'RUCfION
=RADD ON
_ REPAIR
WORK DESCRIPTION:
CONTRAC"f PRICE: $ 5- 7400.!`l Li
FEE: 1°k OF CONTRACI' FEE.
SfATE SURCIIARGE: $•50 FOR FACA S1,000 OF £R1HT!' FEE.
MINIMUM FEE $ 25.00 ~
CONTRACT PRICE X 1% $ .';7 dO
STATE SURCHARGE $ Sa
TOTAL $ S7# 5D
SITE ADDRESS:
TENANT NAME: . ~~Lrffi»2~ STE. #
OWNER NAME:
W STALLER:
ADDRESS: /9vr9 ~ti77~p ~
CITY: (p Gt&,w STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN -'APPLICANT
° .4-~
L1_16 H ~t § ~e . .::av. taSJ. `~i~~i!K~oY:r?'.~."'M~ . . ' ' h'
1993 PL[JNIBING PIILMIT (RESIDENI7AL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
PLEASE COMPLETE FOR SWGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACEI UNIT.
10. FIXTURES EACH
SHOWER 3.00
WATER CLOSET 3.00
BATH TIJB 3.00
LAVATORY 3.00
KITCHEN SINK 3•00
LAUNDRY TFtAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUI'LET • minimum - 1 3.00
ROUGH OPENINGS 1.50
WA'TBR 50FTENER 5.00
PRIVATE DISP. • neLccy. uo. 15.00
U.G. SPRINKI.ER • eome under const. 3.00
ALTERATIONS • to cdsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STAT'E: ZIP CODE:
PHONE ( )
SIGNATURE OF PERMITTEE
n~~c
Py
v •,W
- ~Fpq'.
~
LAND OF QUALITV fOODS 90 W. PLATO BOULEVARO
SAINT PAUL, MN 55107
STATE OF MINNESOTA (612) 296-2627
DEPARTMENT OF AGRICULTURE
September 6, 1985
Mr. Bill Adams
City of Eagan
Box 21199
3830 Pilot Knob Rd.
Eagan, Mn 55122
Dear Mr. Adams:
~ This Inspector_Tim Anders_oo,_recently_issued orders to Mr. John Alan, ,
- -
owner of John_Alan.Candy_and_Cards_:loeatedLjn_Cedarvale shopping center. /
The orders included requiring a hand wash sink and to su6mit':-for approval
plumbing plans to Minnesota State Health Department.
Failure to comply with the above orders would require that firm sell only
prepackaged food products.
Sincerely,
MINNESOTA DEPARTMENT OF AGRICULTURE
~ 04 dv'b'"' '
Tim A. Anderson, Food Inspector
Food Inspection Division
TAA:lj
cc: George Myhra
Cr> : 6
~~~')'j
MIN~~fA ENJOY THE HIGH QUALITY AND INFINITE VAFIETY OF MINNESOTA FOODS
GR ..01WN
AN EQUAL OPPORTUNIN EMPIOYER
6 ~cffiYOlfF 'EaspN ft*it
3$39 PILOT KNOB RD
EA6AN. MN 55122
651-681-4617
BATCN: w
S-Rif-S PR-Rf-T
736M%
609i84BB621
Fff: 8013
[D T'1Ff: VISA
TR TVPE: PKM
IhU:
DpiE: .Nli lA. 94 13:86:15
TOTAL $68,50
ACCT: 425124MM187 EF: @I/BI
F9: B54m
W€: Pkt KI1M
CWAVE Aq0OLM REM7PT ff 900DS
WOR 5ff4ICES IM 11E OF F lif
rOTAL'm aar+ an Ras ro vum
71E MLI6ATIOHS SEf FORTH BV IIE
C..~"'~ER'S patffK91i YI1H ilff ISm
TI€kiks FOz Ujjqg VISA
k
iCP WP4-Mw m MY-MSfdER
....~..,.~.~~:a.4.~ .............i ..~.~nya.:v,: . i.:.o,., :°s;~ „ .
„A•s~.-.Sry.:r.K,.~...,~.dL,n, ,
,f
Ci-(-Y (lj:: lii.i=ifi"ifd
.
ri.". 5 iF.I(~'I.T,i`.Fll.. Ti~.; t'(ii'
BF1TE,, [i:'.,/'I. IJ.`O9 Ti.ME. i..l,F[?Me
T ;
;.~r.r;c: PAUi. irni_:rr.s
'<,:n 9001 ::191f3 3zR ;4E:r4 Pw 60.00
2151 9001 :;`)S.Si! :;.f.D ?fEPi 4tiA f.1e'.i~J
l,iA;.ti9r'0
USf:R .Ci. _ iV,<.tn-Y
• ~ 1999 BUILDING PERMIT APPLICATION ICONIMERCIAL)
CITY OF EAGAN ~,n Co O.~ U
651 681-4675
Re uirementstobuildin ermit (O lO -9~
Foundation Onl New Construction Interior Im rovement
. Structural Plans (2 sets) • Architecturel Plans (2 seu) • ArchitecWral Plans (2 sets)
• Civil Plans (2 sets) • Structural Plans (2 sets) • Code Malysis (1) "
• Code Malysis (1) " • Civil Plans (2 se4s) • Prqect Specs (1 set)
. Project Specs (1) • Landscaping Plans (2 sets) • Key Plan
• Spec. Insp. 8 Tes[ing Schedule " • Code Malysis (1) " • Master Exit Plan
• SAC detertnination letter from MGES - • SAC determination letter from MClES - call • SAC determination letter from MGES - call
call 651-602-1000 651-602-1000 651-602-1000
• Spec. Insp. 8 Tesfing Schedule (1) " • Energy Calculations (1) not always "
. ProjectSpecs (1) • EIec.Power&LighfingFOrtn (1)notahvays"
• EnergyCalculations (1) "
• ElecVic Power & Lightinq Fortn (1) "
• Master 6cit Plan
• Soils Re ort 1
" Contact Building Inspections for sample
Food 8 beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details.
DATE: LoI I °.I~L) WORKTYPE: _ NEW ~O REMODEL
DESCRIPTION OF WORK: C.~IUIJA~ 1n5tpv SPAt-15'
CONSTRUCTION COST: wi, TENANT NAME:
SITEADDRESS: SUITE#:
LOT C~~ I BLOCK (.a SUBD. 'Sf C-~h U v\ I 1 P.I.D. #
Name: QJR611- &AID".E5` YMv14C264t6,V Phone ~4~t) ~~'~{4 <<f
PROPERTY Last First
OWiNER Street Address: Na2n4 *2-0S
Ciry State: ft`) Zip: ~y W
/ d1-
Company: Phone#: 4 -77 ~o
covraP,cTOx Srreet Address:...}oj-t- (`4~3 Uc" A-16 5p. ~ 252
City Y•' P LS State: ~ Zip: .SS~I ~ LO1
,
, ,\RCHITECT/ ~
E~iGINEER Company: Phone Sy
~ Name: Registration
~ StreetAddress: ~ ~ZJ~I VT« ~Q,~1-~ 5O 'Sr-6 ) 6 a
Ciry vh P L-5 State: ?41IJ Zip: S`"
Sewer & water licensed plumber (onlv if installina sewer & water):
I hereby acknowledge [hat I have read this application, state that the information is co ect, and agr e to c ly with all applica6le State •
of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 26 Public Facility ? 28 Greenhouse
? 25 Miscellaneous ~ 27 Commercial/Industrial ? 29 Antennae
WORK TYPE
? 31 New ? 34 Repairs ? 37 Demolish Bidg. ? 43 Siding/Soffits/Facia
? 32 Addition ? 35 Tenant Impr ;E~ 38 Demolish (Interior) ? 44 Windows/Doors
? 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair
GENERAL INFORMATION
Const. (Actual) M Basement sq. ft. Census Code ~
(Allowable) First Fioor sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs. b
# of 5tories sq. ft. MC/ES System
Length sq. ft. City Water •
Width Footprint sq. ft. Fire Sprinklered
APPROVALS .
Planning Building ~ Engineering Variance
m--Q-
VALUATION: $ OO
Permit Fee . 0 U
Surcharge ~
Plan Review '
MC/ES SAC % SAC
City SAC SAC Units .
Water Supply & Storage Meter Size
S/W Permit S/W Surcharge ,
Treatment Plant
Park Dedication
Trails Dedication •
Water Quality
Other
Copies
Total
„vnn ALAN PARTY STORE CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15795
BUILDING PERMIT PHONE:454•8100
~r _ , Receipt '>Rn
To be used for INT IMPR Est. Value $600 Date OCTOSER 27 19$$
Site Address 3918 SIBLEY MEMORIAL HWY OFFICE USE ONLY
Lot Block Sec/Sub. 10-01900-051-06 On Site Sewage _ Occupancy
Parcel No MWCC System _ Zoninq
.
On Site Well _ (ACtuap Const
a Name JOHN VANDER AARDE Ciry Water _ (Allowable)
= Address 14017 FRONTIER LN PRV Required _ u ot Stories
° City B'VILLE phone 432-8063 8ooslerPump _ Length
Depth
, p Name SAME S.F. Total
o Q AddreSS Footprint S.F.
V
W City Phone APPROVALS FEES
W W Engc/ASSess. Permit $16.00
Name
Planner Surcharge .50
x~ Address -
W= City PhOne Council Plan Review
6
U
a Bldg. Ofi. SAQ City
I hereby acknowledge that I have read this application and state Ihat ihe Variance SAC, MWCC
inbrmation is correct pdg ree o com ply with all applicable State ol Water Conn.
Minnesota Statutes anof g n O ~ ancesWater Meter
Signature _ ~?z.-~~ Road Unit
A Building Parmit ued to:___ JOHN_VANDE$_AARDE-- Treatment P1
on ihe express c ion that all work shall be done in accordance with all 1.50
applicable State f Minnesota S~faW-Ites and City of Eagan Ordinances. R'~Ylt9t (COP)')
BuildingOtticial 1A _ TOTAL $18.00
~.~.y-~.ul
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
. . ~
.
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFIC9TES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSES EOR CORNER LOTS - CONTRACTOR/fi0ME0WNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL I1NIT5 FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
. , \ C1 Yl _
COMMERCIAL A'"~,~„~z°~ `
u~-
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: PG-{aValuation: Date:
Site Address .5.6/1,. .•rri s+»«r •'+l !f - OFFICE USE ONLY
. G C ~ z
Lot ` Bloqk On site sewage_ Oecupancy
~ M4TCC system _ Zoning
Parcel/Sub 10 01500 OS I O(o On site well Actual Const
~ City water Allowable
Owner J a/y~i v's~ke ,44r r,lt PRV required _ # of stories
Hooster Pump _ Length
Address /~/0/7 ~/LL7~iC? !-v Depth
S.F. Total Ibb s
City/Zip Code ~3Ur/JSUi//.P . /vlN Footprint S.F.
Phone APPROVALS FEES
Contractor Engr/Assesa Permit 16, pv
Planner Surcharge 14;'1V'
Address .+~.....L Couneil Plan Review
Bldg. Dff. SAC, City
City/Zip Code ' Variance SAC, MFTCC
Water Conn
Phone Water Meter
Road IInit
Arch./Engr. Treatment P1
Parks
Address Copies /..~0
TOTAL
City/Zip Code
Phone S
_ . m. .:;~_w
,r,r r rNrNr~r r rrr rrr,rrr,r,r ,rN,r r rrrrrpr m
. V P U d~ N ~3 b'W ~ m N~ N N Ny N j~ O~~~ V~~ N~~ N~ ~ S~~~ N~ y I
y A ry 6 A
0
Tailor
Ir L1~ ND3 = 3 4226
~0 D
Im o O L-105 s= r- ~ U.S. Swfm
n 9
o ~ 6 Fitnese
r
Im T m Travel H06 m L-225 -O' i
!rn L101 r C,
jr L107 C\8 ~
STORAGE U.S. SWIM L-224 El
4725 5.F. & FITNESS
L-223 ~ ~ fJ .
i....
{ L-202
4222 ~ O. Burton'SFreme
t-221 4203 Extra Speciel
f
e ' I I L-220 ,0. L-204 Treil T.K &
v
Minneapotis Redio Shack
Yt I:[';.~ ~ CpptaGt Lens L219 L2D5
L-218 ~ O . L-2(I6
American
Creatlve Hand L-217 I Q-D I g Ima e
I salo
Fashion ~ L-208 Hallmark Cleaners
6216
Footwear L-208a BarberShop
j i i L-209 Nedved Floral
I~~ 1-215
Mike's L-210
~Id Jewelers
~ShceHepair L-214 . ? .
i
Storage o~e E3
4213A . ~ 4217A
I ~ r' 3 I ~ n
L2136
.i i Ii ~ • ~ •
SnyderDrug
I. i L-213C • ~ •
I~
! i ~ 1 Hartlware Stare L-2116
` d
4212
~
~
~ x
i 70 3L4res
aPtn;n
~
~ ,~J_{ Y ~ i p:vtstn~ o F S~f•r e S
o,F 5~0r-r
5
CITY OF EAGAN
CASHIER: JS , TERMINAL NO: 783
DATE: 09/05/00 TIME: 14:32:33
ID:
NAME: WEB-CO BUILDERS
3210 9001 3920 SBLY MEM H 83.25
2155 9001 3920 SBLY MEM H 1.50
Total Receipt Amount: 84.75
CR136942
TJ.4RR Tl)- i7AjQ
2000 BUILDING PERMIT APPLICATION (COMMERCL9L)
L CITY OF EAGAN
651-681-4675
T- -o c~
Foundation Onl New Construction Interior Im rovement
• SWdural Plans (2 sets) • ArchitecW21 Plans (2 sets) • Architecturei Plans
• Civil Pians (2 sefs) . SWclural Plans . (Z sets)
(2 sets) Code Malysis (1)
• Certificate o( Survey (i) • Civil Plans (2 sets) • Project Specs (1 seq
• Code Malysis (1) . Landspping Plans (2 sets) . Key Plan (1)
• Project Specs (1) . Code Analysis (t) " . Master Exit Flan (7)
• Spec. Insp. 8 Testing Schedule " . Certificata af Survey (1) . Energy Calculations (1) not always"
• Sals Report (1) . Spec. Insp. & Testing Schedule (1) TM • Elec. Power 8 Lighting Form (t) not always"
• Meter size must 6e established . Meter size must be established . Meter size must be established - if applicable
• ProjectSpecs (t)
1 . EnergyCalcula6ons (1) 1
1 • Electric Power & Lighting Fortn (1) 1
1 . Master Exit Plan (1)
1 . Fire Protectlon Plan (7) 1
1 • Soits Report (1) 1
• MC/ES SAC detertnination letter . MClES SAC daterminaUOn letter . MC/ES SAC determination lerier
tall 651-602-7000 call 651-602•1000 call 651-602-1000
" Contact Building Inspections for sample
Food & beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details.
DATE: WORK TYPE: NEW ~ REMODEL CONSTRUCTION COST~Q2V
~j
DESCRIPTION OF WORK: yL ZL Z;y- .
A~
TENANT NAME: _ TO{'!//1 ~~~?d~ 15~~1d~~o SUITE
FORMER TENANT NAME: <
SITE ADDRESS:~s OICK ~~SUBD S-e C~
T`aine Phone#: (
PROPERTI' Last F'ust
OWNER
Street Address:
City State: Zip:
Company: Phone
CONTRACTOR
Street Address:
City
State: Zip:
ARCHIT'ECT/
ENGINEER Comp Phone
4
Name: Registration
' Steet Address:
City State:
Licensed plumber installina sewerlwater: Phone L~ RECEIVED
Meter Size:
SEP 5 ° 2000
I hereby acknowledge that I have read this application, state that the information is correct, and agres compty with atl applic ate
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT SUBTYPE
? 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
? 14 Apartments X27 Commercial/Industrial ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
WORK TYPE
O 31 New ? 34 Repair ? 37 Demolish Bldg. ? 43 Reroof •
? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Siding
~ 33 Alterations ? 36 Move Bldg. ? 42 Demolish (Found) 0 45 Fire Repair
? 46 Windows/Daors
GENERAL INFORMATION
Census Code 437 Zoning ~ sq. ft.
SAC Code ? > # of Stories '
sq. ft.
No. of Units o Length sq. ft.
No. of Bldgs. 1 Width sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
rJ" Gas Service Test ? Heating ? Insulation ? Plumbing ? Stucco/Stone
APPROVALS
Planning Building 0Engineering Variance
~
Permit Fee VALUATION:$ _ ~SoG
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge Treatment Plant
Park Dedication
Trails Dedication '
Water Quality
Other
Copies
Totai
. lqqlq
1991 SIIILDING PERMIT APPLICATION Q~
CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS M[TI.TIPLE DWELLZNGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUfATI0N5 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES Wk[EN: TYPING OF PERMIT IS REQIIESTED, BUT NOT PICKED UP BY lAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
Q.a......n. c.~>.~ ~
To Be Used For: 1x~.pDolw~..,a~Valuation: ~ Date: 9 4) _
Site Address 392-0 OFFICE IISE ONLY
w,.~ 3 00 0
Lot QfL Block O(o FEES C/
Occupancy ~ Bldg. Permit
Zoning Surcharge
Parcel/Sub AprAlA,t1 ~Q Actual Const Plan Review
Allowable SAC, City
Owner VffaR kwaww~g # of stories SAC, MWCC
Length Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code '30p~} ~ I~•~.~J Footprint S.F. S/w Permit
• 5/W Surcharge
Phone -A-'15 • oo'?n- On site sewage_ Treatment P1.
On site well Road Unit
Contractor Gm.ay&;vCr,s-. 7p T•a MWCC System _ Park Ded.
City water _ Trail Ded.
Address If}~ 1a9. Co O-o C PRV _ Copies
Booster Pump _ City/Zip Code 4,7 P*-j~ a....+ 5TU3 SIIBTOTAL
APPROVALS Penalty
Phone (o iz• L9~. . q3 °3o Planner Lot Change
Council TOTAL ,SS, Sl~
Arch./Engr. ~7A+~•-~ Bldg. Off.
Variance
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr.
p[.~.GC. ~ E.bI..cy9o agrees that all work shall be done in accordance with
(Signat e of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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vGH lu(6 ~ 1931 SUsLDING P IT APPLICATION
~ ~
CITY OF EAGAN ~
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS C0294ERCIAL ~
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTIJRAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CNANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE SUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To 9e tlsed For: Valuation: ~5D00 Date: ~
Site Address 3 g2u OFFICE USE ONLY
Lot P, 61 Block Q~ FEES
Occupancy Bldg. Permit ~~v2•~
Zoning Surcharge
Parcel/Sub ~olA .,_IATI.Actual Const Plan Review IDS•_°
y, Allowable SAC, City
Owner ~J.~/~ # of stories SAC, MWCC
Length Water Conn.
Address 5,z- Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S. F. S/w Permit
S/W Surcharge
Phone Do$b On site sewage_ Treatment Pl.
On site well Road Unit
Contractor MWCC System _ Park Ded.
City water Trail Ded.
Address PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL
Arch./Engr. 1?dvt Bldg. Off. 14off IA6
Variance
Address
City/Zip Code
Phone #
ziLzagrees that all work shall be done in accordance with
Signature of Contractor)
aYl applicable State of Minnesota Statutes and City of Eagan Ordinances.
1991 BIIIL19NIPWALICATION
CITY OF EAGaiN
SINGLE FAMILY DWELLINGS M[R.TIPLE DWELLINGS COMMI:RCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRIICTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGSt CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS HADE.
IAT CHANGE IS REQiIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE SUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
R6PAIR ~i~E~"fRccK IN C.,~IeRIDckS
I? i~,cLc~E ~IcA~L 2~'x~»1
To Be i}se or: Valuation: Date:
3q2o sPSZe~r rslva~o,~aa..~H
Site Address OFFICE USE ONLY
r.oc ( slock FEES
Occupancy Bldg. Permit 3 ~'J
Zoning Surcharge 2,00
Parcel/Sub ,dura ~Q Actual Const Plan Review
Allowable SAC, City
Owner # of stories SAC, MWCC
Length Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ Treatment P1.
On site well Road Unit
Contractor C61vsT9-uc.T(ov -)D IW! MWCC System _ Park Ded.
City water Trail Ded.
Address ~Q `3 h W~h PRV _ Copies •
Booster Pump _
City/Zip Code ~oSSUiLtn SIIBTOTAL
APPROVAIS Penalty
Phone Planner _ Lot Change
Council TOTAL
Arch./Engr. Bldg. Off.
Variance
Address
City/2ip Code
Phone #
Sewer/Water Licensed Contr.
agrees that all wolrk shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ozdinances.
i
.
1988 BUILDING PERMIT APPLICATION - CITY OF EAdgN •
::0-- 14 % 6 t
SINGLE F6MILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICAT OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CO AACTOR/HOMEOWNER MUST DESIGNATE WFIICH ADDAESS
IS DESIRED. NO CHANGES WILL HE ALLO ONCE BUILDING PERMIT IS ISSIIED.
MULTIPLE DWELLINCS RENTAL ONITS FOR 5 E UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - C CK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP'MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ~•,~a~,~,
rN~R~~a T_H+~ave~tEnrf' * ,~u APR 14 19~
~
To Be Used For: Valuation: j Q.S Date: z/-/g
Site Address Cac~.aevAtr OFFICE USE ONLY
Lot Hlock On site sewage_ Occupancy . $r 2
19-b1q77" MWCC system Zoning
Parcei/Sub Cac~~e C~o ias~r- On site well Actual Const
City water Allowable
Owner U MrC\c.. PRV required _ U of staries
Boaster Pump _ Length 12 0Address Depth
1'~cti S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor 1~2 f, -,K\Engr/Assess Permit 286, 00
Planner Surcharge - = 0
Address Council Plan Review 'i , Oq
Bldg. Off. SAC, City
City/Zip Code. S crc..~ Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment Pl
Parks
Address Copies
~ , 50
City/Zip Code TOTAL
Phone #
VQWATidN
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CITY OF EAGAtd
CASI1IEFit S TF.::RMINAL. N0: 76E,
DATE~ 06/28/99 T'IME: 08e14:11
ID :
NFlMf=e 14AT80N-FOIiSRERG C(]
32i0 9L~01. 3316 SICs MEM HW 1y55;3.rS
3866 9373 3918 S'I.B MEM HI4 200„00
:3422 9001 391Ci 5IFf MEM HW 12009.94
2275 :ac.'.?Q 3M SIB MEM HW 2j(]'79.00
3446 3001 3318 5IH MEM NW 21.00
21 ;.ri 9001 39iFl STT+ MEM FII4 100.00
2%F! 9220 :i918 ,riICi hfF:M 4i14 936.00
Tota7. Receip+ Amnkan+,: 526:39.69
CF:1.i.?i4i
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1999 BUILDING PERMIT APPLICATION (COMMERCIAL)
CITY OF EAGAN
651681-4675 9 cy~ (~CZ
I J
Re uirements to buildin ermit "aC,- J
Foundation Onl New Construction Interior Im rovement
• Structural Plans (2 sets) • Architecturel Plans (2 sets) • Architectu2l Plans - (2 sets)
• Civil Plans (2 sets) • SWdural Plans (2 sets) • Code Malysis _ (1) "
• Code Malysis (7) " • Civil Plans (2 sets) • Project Specs (1 set)
• Project Specs (t) • Landscaping Plans (2 sets) • Key Plan.-
• Spec. Insp. 8 Testing Schedule " • Code Malysis (1) " • Master Ezit Plan
• SAC detertnination letter from MGES - • SAC detertninafion letter from MGES - tall • SAC delerminatlon letter from MC/ES - call -
call 651-602-1000 851-602-1000 851-802-1000 • Spec. Insp. & Testing Schedule (1) " •-Energy CaIwlaGona (1) not always"
• Project Specs (1) . Elec. Power & Llghting Fortn (1)wtaArays "
• EnergyCalculadons (1) "
• Electric Power 8 Lighting Form (1) "
. Master Exit Plan
• SoilsRe ort - (1) 1
" Contact Building Inspections for sample
Food & bevera e or lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 651-215-0700 for details.
DATEA9M WORKTYPE: _ NEW ~ REMODEL
DESCRIPTION OF WORK: 04g5 Q.-e~ AAbo(1 pIJ
CONSTRUCTION COST: :k2C7p~ ObZ7 TENANT NAME: CZZIOTC~
SITE ADDRESS: 27CAA SkO~ 6,ZMnQ.\qL 4`Sl" SUITE
LOT Q_S I BLOCK Ca SUBD. [7 v1, L~ P.I.D. #
Name: V~7~ r,11'p~,S~ V V ~~H,A~i6~l hT Phone LD I Z I S3S- W q I9
PROPERTY Last First
OWNER 1 5 n D~^
Sheet Address: N a/~~l`^I,CT m
Ciry 1~EUJ State: ,l$-1?.+ Zip: C6
Company: W/4 V~C'N ' 1 Vi'---'tA:Q ~ L<) Phone S `t `t' - -7 7 6I
CONTRACTOR Street Address: tLn~ ~ 4,.> SM q S2.
City V V t ~,5 State: Y'' /i Zip: ~S4 ~(0
?VOJ rr_T` Od~l ~1~1L ~ ~ka~~ 6l2 ~ 8l ~-3
ARCHITECT/ q
Phone ~ 17- ' ci
9 b r
ENGINEER Company: A
Name: Regisuation
. Street Address:
, City Y Y Stare: Zip:
Sewer 8 water licensed plumber (onlv if installina sewer & water):
I hereby acknowledge that I have read this application, state that the information iscorrect, a to c ly with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
: i
OFFICE USE ONLY . , ,
BUILDING PERMIT TYPE
? 01 Foundation ? 26 Public Facility ? 28 Greenhouse
? 25 Miscellaneous ~ 27 Commercial/lndustrial ? 29 Antennae
WORK TYPE
? 31 New ? 34 Repairs ? 37 Demolish Bldg. ? 43 Siding/Soffits/Facia
? 32 Addition ? 35 Tenant Impr ? 38 Demolish (Interior) ? 44 Windows/Doors
R 33 Alterations ? 36 Move Bldg. ? 42 Reroof ? 45 Fire Repair
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. Census Code 37
(Allowabie) First Floor sq. ft. SAC Code ~30
UBC Occupancy sq. ft. No. of Units I
Zoning sq. ft. No. of Bldgs. o
# of Stories sq. ft. MC/ES System
Length 1150 sq. ft. City Water
Width ('20 Footprint sq. ft. ~ Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
VALUATION:
Permit Fee Sr
Surcharge ~ o U, n u
Plan Review l o 0 q, q~
MC/ES SAC ~YI 0 U , o U % SAC ~l9U
City SAC 7-00, O U SAC Units
Water Supply & Storage Meter Size
S/W Permit
S!W Surcharge
Treatment Plant 3(p
Park Dedication ~
Trails Dedication , Water Quality
~
Other
Copies
Total Ql 9
_ (o~ '
Metropolitan Council
Working for the Region, Planning for the Future
Environmental Services
7une 21, 1999
1~ECEIV~~ E
Dale Schoeppner ~~N 2 3 1999
Building Official }
City of Eagan
N
3830 Pilot Knob Road BYEagan, MN 55122
Dear Mr. Schoeppner:
The Metropolitan Council Environmental Services Division has determined SAC for the
Va1e Education Center Addition to be located at CedarVale Shopping Center within the
City of Eagan.
This project should be chazged 2 SAC Units, as detemuned below.
SAC Units
Charges:
Classroom
2110 sq. ft. @ 30 sq. ft./student @ 18 students/SAC Unit 391
Credits:
Retail
5916 sq. ft. @ 3000 sq. ft./SAC Unit 1.97
Net Charge: 1.94 or 2
Ifyou have any questions, call me at 602-1113.
Sincerely,
9 .
Jodi L. Edwards
5taff Specialist
Municipal Services Section
JLE: (370)
99062154
cc: S. Selby, MCES
Cazolyn Krech, Finance Department, Eagan
Paul Kolias, Watson-Forsberg Co.
230 East Fifth Street St. PauL Minnesota 55101-1626 (651) 602-1005 Fax 602-1183 1'DD/1'f'Y 229-3760
An £qunf Opprntunity Einpioyer
PLUMBING (COMNIERCIAL)
Permit Application
City Of Eagan ~
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
natEO~ / '~A / cl~
Site Address ~jc\2 ' Unit #
Tenan[ Name\-.F~{y~ Former Tenant Name n
Pro ertOwner
P S' Telephone # ( )
Contractor
Address ^ \ ~ ~\S {~ve r~ City 1\,,J HU
State ~}V\tJ Zip Telephone #
The Applicant is _ Owner Contractor Other
Work Type _ New Bldg Add-on Repair RPZ PVB Irrigarion system *
" J rrv Wobschall [o calculate fers. Re uired meter size is 2" turbo unless smaller size ermitted bv Public Workc
Descripfion of Work
To inquire if Ressure Reducing Valve is required'on new service, call 651-675-5646
Me[erS - Call 651-675-5300 to verify [hat hydrostatic, conductivity, and bacteria tests passed urfor to oickine uo meter
Irrigarion Size & Type Avg GPM
Fire 5ize & Price 3/4" disolacement $156.00
Domestic Size & Type Avg GPM Includes high demand devices? _ Yes _ No
Flushometers _ Yes _ No PRV Required _ Yes _ No
Permit Fee $50.50 minimum (includes State Surcharge)
Conhact Value $ V~ x 1% _ $ Base Fee 7Read
$ q, Meter(s)
Required on all new buildings & boulevard irrieation systems $ wRadio MeteIf base fee is 51,000 or less, surcharge is $.50 $ State SurCllaTge If base Cee is over $1=000, surcharge is $.50 per $1,000 ot[he Dase Fee ~ M Ct-,V (Q C,~ ( N A 3ov 'r-
Following fees apply only when installing new irrigatlon system $ at r Permit ~
Contac[ Jerty Wobschall at 651-675-5024 for required fee amoun[s - I
$ , tment Plant
$ Watei Supply & Storage
$ State urcharge
'~30 Total Fee
I hereby apply for a Commercial Plumbing Permit and acknowledge that the infortnation is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a perntit, but only an
application for a permit, and work is not to start without a permit; that the work will be in aceordance with the approved plan in the case of work
which requires a review and approval of plans.
'~~lOYY~eS . ~ ~r~ .
ApplicanYs Pnnte Name App anPs Signature
CITY USE ONLY
REQUIRED INSPECTIONS: _ U.G. _ Air Test _ Gas Test _ Rough In _ Fina]
PLANS SUBMITTED APpROVED BY: 'U 3 . BUILDING INSPECTOR
General Information
• Radio Meter Read (required on all new buildings & boulevard irrigation systems- $157.00
• RPZ's must be rebuilt every five yeazs. A minimum fee permit per address is required for RPZ rebuilding or repairing.
• Water meters include copper horn/strainer, remote wire, and touch-pad meter
GPM METERS USE PRICE GPM METERS USE PRICE
1-20 5/8" residential $121.00 4-120 1-1/2" irrigation Syst $ 781.00
displacement smcommercial hubine*•
maximum Illust 1'eCelve
continuous appCOVaI
lo from Public
Works
2-30 lawn irrigation $156.00 4-160 2" turbine lg irrigation syst $ 982.00
maximum displacement residenrial gt
continuous sm commercial production lines
15
3-50 1" displacement very ]g res $200.00 1/4 to 160 2" compound bldgs over $ 1,860.00
bldg to 24 units 65 units
maximum sm commercial &
coatinuous & lg comm hldgs
25 irri arion s stems
5-100 I-1/2" bldgs 25-64 units $484.00
maximum displacement gt
continuous most comm bldgs
50
METERS REOUiRING 30-DAY ADVANCE NOTICE PRIOR TO PICK UP
GPM METERS USE PRICE GPM METERS USE PRICE
5-350 3" turbine very Ig irrigation $1,328.00 6-500 4" compound +300 unit bldgs & $3,702.00
syst & production very Ig comm bldgs
lines
1/2-320 3" compound +200 unit bldgs $2,411.00 10-1000 6" compound +400 unit bldgs $6,100.00
very Ig comm bldgs very Ig comm bldgs
I5-1000 4" turbine verylgirrigation $2,329.00
syst
& production lines
Comments
• To schedule inspec6on of the inside water line and backflow preventer, ca11651-675-5675.
• To arrange for water turn-on, ca11 65 1-675-5 3 00.
cc: Maintenance Division Clencal Technician Updated 1/03
MECHr1NICAL (COMMERCIAL)
Permit Application
City Of Eagan
c~ r-1 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. commercia]/industrial buildings
multi-family buildings when sepazate permits aze not required for each dweliing unit
natkj!~'_ iD' 3
Site Address S Unit #
Tenan[ Name (if app?icable).-.+~a~_~ v~vcci~ Prev ous Tenant Name
~
Property Owner Telephone # ( )
Contractor
Street AddressC_\ \y ~p=~\~~~~ ~ve ~ ~ City
State \MV\ Zip Telephone # 2D5'7? Tj
The Appticant is _ Owner Contractor _ Other
Work Type
Newconstruction UndergroundTank _Install _Remove
~ Interior Improvement Call for inspection during installation/removal of tank
_ Processed Piping
NatureofWork:1~ "~RQ~,e
Permit Fee $50.50 Minimwn Fee (includes State Surcharge)
ContractValue $ x 1% _ $ '76. _SC) PemutFee
• If pemvt fee is $1,000 or less, add $.50 $ State Surcharge
If pernvt fee is over $1,000, add $.50 per
$1,000 Pemut Fee - - ~
$ it' ~ Total F~
I ~
P 2 $
I hereby apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand 's is
not a permit, but only an applica6on for a permit, and work is not to start without a pemrit; that tt~e`3, yvork will-be-in-accordans with
the approved plan in the case of work which requires a review and approval of plans.
n
ApplicanPs Pnnted Na 6- App iea\ Signe
Approved By: Inspector Date~____)
MECHANICAL (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please comptete for: Single Farnily Dwellings
Townhomes and Condos when pemuts are required for each unit
Date
Site Address Unit il
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Conhactor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Percnit and acknowledge that the infomnation is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanica] Codes; that I understand this is not a
pemut, but only an application for a pemvt, and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Lc-r OS1 (Jlock (p
COMMERCIAL BUILDING
Permit Application
City Of Eagan L{ --2) S-d3
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 C) It
Foundation Onl New Buildin Interior Im rovement
• Structural Plans (2) sets • Architectural Plans (2) sets • Architecturel Plans (2) seks
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (1) • CivilPlans (2) • ProjectSpecs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan (1)
• ProjactSpecs (1) . CodeAnalysis (1) • Master Exit Plan (1)
• Spec. insp. & Testing Schedule " . Certifipte of Survey (1) • Energy Calculations (1) not always•'
• Soils Report (1) • Spec. Insp. & Testing Schedule (1)" • Elec. Power & Lighting Form (1) not aiways"
• Meter size must be esfablished . Meter size must be established ! Meter size must be established-if applicable
1 • ProjectSpecs (1)
d . EnergyCalculations (1)1
1 • Electric Power & Lighting Form (1) " 1
1 • Master Exit Plan (1) 1
d • Emergency Response Site Plan (1) 1
1 • Soils Report (1) 1
• SAC determination - call 651-602-1000 . SAC determination - call 651-602-1000 SAC determination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regarding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required when it states "not always".
Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date q/ ll 0j° Construction Cost ~J~ FGVa
Site Address ~ Zo t~ F-'-gm IA WprL1A- UnidSte #
Tenant Name L 1 I-~ .S i~AlJ Former Tenant Name
7-1 R1 Ca
Description of Work 21 O Vfl%77.7 ~1C S
Property Owner d 6" Telephone # (6[~Y)
Contractor
Address City LJ
Stat~ M41, Zip Jr k13 Telephone #(10'Z) 5" -SD S Z--
Arch/Engr /41 JP.?~ kt&J(J-~ Registration# `
Address I~u U r r City~1/l [t~l~-
State 1/11 W Zip55qTelephone #Z 7~'~~"U r
Licensed plum6er installing new sewer/water service: Phone
I hereby apply for a Commercial Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case work which requires a review and
approval of plans.
`~zo-J-l
"Applicant's Printed Name Ap ' ignature
OFFICE USE ONLY
Sub Types
~ 01 Foundarion ~ 26 Public Facility C 30 Accessory Bldg.
7 14 Aparhnents ';K27 CommerciaUIndustrial C 32 Ext Alt - Apts.
L 15 Lodging ? 28 Greenhouse C 34 Ext Alt - Comm.
7 25 Miscellaneous C 29 Antennae C 35 Ext Alt - PF
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Oemolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
E'/33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Oemolition (EMire Bldg only) - Give PCA handout to applicant
Valuation ooCP Occupancy G-/ MC/ES System e5
Census Code y3 -7 Zoning City Water ~
SAC Units ~ Stories ! Booster Pump
Nbr. of Units - Sq. Ft. /ag (v70 PRV
Nbr. of Bldgs I Length - Fire Sprinklered ~
Type of Const 1r Width
REQUIRED INSPECTIONS
_ Foorings (new bldg) FinaUC.O.
_ Footings (deck) ? FinallNo C.O.
_ Footings (addition) ? Plumbing
Foundarion ? HVAC
_ Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By (~k' ke , Building Inspector
Base Fee (oa.75
Surcharge 3 3 , Sp
Plan Review ~QS 7g'
MGES SAC
City SAC
Water Supply & Storage
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Copies
Other
Total
FIRE SUPPRESSION SYSTEMS
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and co onents to be used
Date 4_ 7
Site Address: 3"i 'L-o S I M rl^-o ~AL- 1J (c 1J-A7
Tenant / Building Name: L l Fc- SOn ?
The Applicant is: _ Owner Contractor Other
PROPERTY OWNER S~ c ~ D I
2 9 2003 i
Address:
City: By Zip:
CONTRACTOR lL(1 l~ cti~'1 1~ Pi'-c TVc-77-J r v(-,MN License No. C U° o'/
Address: 3-L~ /-JA R-n i ~c f T. C' . City:
State: A N- Zip: Phone ~p/Z- 3 3/-/5~//
ESTIMATED COMPLETION DATE: .S / 3 0 / Ol
FIRE PERMIT TYPE: ~ Sprinkler System of heads Fire Pump _ Standpipe
Other:
WORK TYPE: New Addition ~ Alterations Remodel
Other:
DESCRIPTION OF WORK: x Commercial Residential _ Educational
Other:
PLEASE COMPLETE REVERSE SIDE
I
PERMIT FEE: $50.50 Minimum Fee (includes State Surcharge)
Contract Value $ 2 8 x .Ol % _ $ 2 ~ Permit Fee
• If Permit Fee is $1,000 or less, add $.50 $ ~ State Surcharge
If Permit Fee is over $1,000, add $.50 per
$1,000 Permit Fee
3/4" Displacement Fire Meter $ $ 156.00
5o S°
TOTAL FEE: $ •
I hereby apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota BuildingJFire Codes; that I understand this is not a 't, but only an application for a permit, and
work is not to start without a permit; that the work will be accord ith the approved plan in the case of
work which requires a review and approval of plans.
J,a M " 4. l~ E12,ec-L-
ApplicanYs Printed Name Applicant's ature
`t
Date
DO NOT WRITE BELOW THIS LINE
REQUIRENSPECTIONS
~ o
neiU ne _ Hydrostatic _ Flow Alann _ Drain Test
_ Trip _ Pump Test _ Central Station 7~ Final
Conditions of Issuance:
Permit Approved Date: ~ / / ~
~o~-- (:)"7- , C') 1o ck o c,
S,144 Yy\-t WA ~Vw y~ • COMMERCIAL BUILDING •
a Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Foundation Onl New Buildin Interior Im rovement
• Structural Plans (2) sefs . Architectural Plans (2) sets • Architectural Plans (2) seLs
• Civil Plans (2) . Structural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (t) . CivilPlans (2) • ProjectSpecs (t)
. Code Analysis (1) " . Landspping Plans (2) • Key Plan (1)
. ProjectSpecs (1) . CodeAnalysis (1) " • MasterExitPlan (1)
. 5pec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " . Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established • Meter size must be established • Meter size must be established-if applipble
1 • Project Specs (1)
1 . EnergyCalculations (1)
d • Electric Power & Lighting Fortn (1) 1
1 • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1)
1 • SoilsReport (1) 1
• SAC determination - call 651-602-1000 • SAC detercninatlon - call 651F02-1000 SAC detertnination - call 651-602-1000
Call MN Dept of Health at 651-215-0700 for details regazding food & beverage or lodging facilities.
Contact Building Inspections for samplc and if required when it states "not always".
Permit for new building or addition will no[ be processed without Emergency Response Site Plan.
Date Construction Cost C- ~
SiteAddress UniUSte #
Tenant Name Former Tenant Name
Description of Work law`ocw\ k-Ey\di.k_A-
Property Owner c:5,% y1ae-V'~(_.v ~~~6cy1 Telephone # U 2-) 9Q C'L-) Q
Contractor ~4~ C04l'n64L-)C_\ t_-%" ~ 4
Addresa City J\AA-.~Ac~n
State _ Iy K] Zih~l ~j Telephone #
Arch/Engr #
Address CityTZAQ ~
State tQ.K) - Zip ~ Telephone # ( )
Licensed plumber installing new sewerlwater service: Ft Phone
I hereby apply for a Commercial Building Permit and aclrnowledge that the informatio / plete atid accurate;
that the work will be in conformance with the ordinances and codes of the ' o£,Eagan and the tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is no o without a
permit; that the work will be in accardance with the approved lan in the case of wark which requires a review and
approval of plans.
1
Applicant's Printed Name Applicant's Sigiature
~ OFFICE USE ONLY ~
Sub Types
LJ 01 Foundation -1/ 26 Public Facility f7 30 Accessory Bldg.
F 14 Apartments L° 27 Commercial/Industrial G 32 Ext Alt - Apts.
J 15 Lodging D 28 Greenhouse ~1 34 Ext Alt - Comm.
C 25 Miscellaneous ? 29 Antennae C 35 Ext Alt - PF
0 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiUon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 6 O O Occupancy e~7-1_ MC/ES System ,e.5
i
Census Code ~37 Zoning e$ G City Water ~ P S
SAC Units ~ Stories Booster Pump
Nbr. of Units - Sq. Ft. PRV ~
Nbr. of Bldgs ~ Length Fire Sprinklered
TypeofConst 1LN Width
REQUIRED INSPECTIONS
Footings (new bldg) FinallC.O.
Footings(deck) ? Final/No C.O.
Footings (addition) ? Plumbing
Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final
~ p~ng _ Siding _ Stucco _ 5tone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insularion _ Retaining Wall
Approved By ke Le n c~c- , guilding Inspector
Base Fee V6,
Surcharge 3 . SO
Plan Review Jr07 •
MCIES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total ~ .3/~
2005 FIRE SUPPRESSION SYSTEMS PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
CI'S ~ Telephone # 651-675-5675 Fax # 651-675-5694 1693-01`~
Requirements: 2 complete sets of drawings and specifications
cut sheets on materials and com onents to be used
Date
Site Address: 39l K 'SLr.llau n~ ulf) &xv N
Tenant / Building Name: _C[V9ju
The Applicant is: _ Owner iJL~Contractor _ Other
PROPERTY OWNER
Address:
City: State: Zip:
CONTRACTOR '~'f)lpJ'/(A df ~ MN License
Address: y'VILU/~_ ~~U ~lC~ty:
State: !U Zip: '5SY`/2 Phone#:
ESTIMATED COMPLETION DATE:
FIRE PERMIT TYPE: Sprinkler System ofheads Fire Pump _ Standpipe
l
Other:
WORK TYPE: New Addition - Alterations Remodel
~ Other: ~ UGG(:X~ `
U~
1 -
S(n.uo- Cd,eru_rr~
DESGRIPTION OF WORK: Commercial Residential _ Educational
Other:
11111
° D
Please continue on reverse side gy
,I
PERMIT FE $50.50 Mireimum ee (includes State Surcharge)
Contract Value $ x .Ol = $ Permit Fee
• If Permit Fee is $1,000 or less, add $.50 $ •~j~ State Surcharge
If Permit Fee is over $1,000, add $.50 per
$1,000 Permit Fee
3/4". Displacement Fire Meter - $161.00 $
TOTAL FEE: $ - ~
I here.by apply for a Fire Suppression System permit and acknowledge that the information is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the
Minnesota BuildinglFire Codes; that I understand thisis not a permit, but only an application for a permit, and
work is not to start without a permit; that the work 'll be in accor ce with the approved plan in the case of
work which re uires a review and approval of plans.
i
,
~
bmjl~
ApplicanYs Printe ame Applic s Signature
DO NOT WRITE BELOW THIS LINE
REQ[7IRED INSPECTIONS
HydrastaTic Flqw Alar!n Drain Test. ` Rough In
_ Trip _ Pump Test Central Station ~ Final
Conditions of Issuance:
Permit Approved b Date: ~ /16
/ O s